Individual
DR. MICHAEL WILLIAM LATREILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-4327
Mailing address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042.0013058
VT
207R00000X
Internal Medicine Physician
6880
AK
207R00000X
Internal Medicine Physician
MD442728
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/05/2008
Last updated
04/09/2015
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