Individual
DR. JOHN CHRISTIAN KLICK
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) 847-0000
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
042894
CT
207L00000X
Anesthesiology Physician
MD462742
PA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
042-0014642
VT
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
35.094297
OH
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
MD462742
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD462742
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001428946
—
CT
05
—
1034516430001
—
PA
05
—
1265425235
—
MI
05
—
2995504
—
OH
01
—
629435
MEDICARE
PA
01
—
P00774258
MEDICARE RAILROAD
OH
Enumeration date
08/25/2005
Last updated
03/03/2020
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