Individual
DEAN D MEASECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
332 DEWEY ST, BENNINGTON, VT 05201-2225
(802) 442-6314
(802) 447-1686
Mailing address
332 DEWEY ST, BENNINGTON, VT 05201-2225
(802) 442-6314
(802) 447-1686
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0550030248
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002380
—
VT
01
—
932666
MVP
VT
01
—
ORTH19364
BCBS
VT
Enumeration date
08/26/2005
Last updated
01/25/2008
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