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Individual

WILLIAM S GRASS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
118 PINE ST, BURLINGTON, VT 05401-8421
(802) 660-8000
(802) 862-4062
Mailing address
118 PINE ST, BURLINGTON, VT 05401-8421
(802) 660-8000
(802) 862-4062

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
042-0009917
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007917
VT
05
30201707
NH
Enumeration date
07/26/2006
Last updated
07/01/2013
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