Individual
DR. WAYNE L WARNKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
617 RIVERSIDE AVE, BURLINGTON, VT 05401-1601
(802) 864-6309
(802) 860-4324
Mailing address
617 RIVERSIDE AVE, BURLINGTON, VT 05401-1601
(802) 864-6309
(802) 860-4324
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0420010789
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010783
—
VT
01
—
1901789
CIGNA
—
01
—
373830
MVP
VT
01
—
68194
BLUE CROSS BLUE SHIELD
VT
Enumeration date
12/16/2005
Last updated
08/20/2025
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