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Individual

WILLIAM J NOWLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
115 PORTER DRIVE, PORTER HOSPITAL, MIDDLEBURY, VT 05753
(802) 388-4001
(802) 388-5612
Mailing address
115 PORTER DRIVE, MIDDLEBURY, VT 05753
(802) 388-5607
(802) 388-5654

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
6918
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0005611
VT
01
5611
BCBS
VT
01
77V129
MVP
VT
Enumeration date
09/15/2006
Last updated
07/08/2007
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