Organization
MARK C. STICKNEY, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK STICKNEY (M.D.)
(802) 773-7155
Entity
Organization
Contact information
Practice address
3 COMMONS ST, RUTLAND, VT 05701-4652
(802) 773-7155
Mailing address
3 COMMONS ST, RUTLAND, VT 05701-4652
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042-0007705
VT
Other
Enumeration date
07/09/2010
Last updated
07/09/2010
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