Individual
STEPHEN E MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
586 OAK HILL, WILLISTON, VT 05495
(802) 878-8131
Mailing address
586 OAK HILL, WILLISTON, VT 05495
(802) 878-8131
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0420007527
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009766
—
VT
Enumeration date
08/25/2006
Last updated
07/08/2007
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