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Individual

DR. MARC DAVID TISCHLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-3734
Mailing address
5471 ROUTE 116, ST GEORGE, VT 05495-7201
(802) 860-3686

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
042-0008327
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01258171
NY
05
0VN0145
VT
Enumeration date
08/17/2006
Last updated
07/08/2007
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