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Individual

DR. MARC S KUTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
133 FAIRFIELD ST, SAINT ALBANS, VT 05478-1726
(802) 524-1050
(802) 524-1057
Mailing address
133 FAIRFIELD ST, SAINT ALBANS, VT 05478-1726
(802) 524-1050
(802) 524-1057

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
0420007186
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0002508
VT
Enumeration date
07/11/2006
Last updated
10/10/2011
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