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Individual

DR. PATRICE PETERSON COLANDER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
44 COLLINS DR, SUITE 202, MIDDLEBURY, VT 05753-8528
(802) 388-1338
(802) 388-8244
Mailing address
44 COLLINS DR, SUITE 202, MIDDLEBURY, VT 05753-8528
(802) 388-1338
(802) 388-8244

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
042-0009116
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26P882
MVP
01
38707
BCVT
Enumeration date
04/25/2006
Last updated
07/08/2007
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