Individual
MR. DALE S JANIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 ALBERT CREE DR, RUTLAND, VT 05701-4674
(802) 786-1400
(802) 786-1405
Mailing address
1 ALBERT CREE DR, RUTLAND, VT 05701-4674
(802) 786-1400
(802) 786-1405
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0420008044
VT
207RG0100X
Gastroenterology Physician
MD202928
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0058911
BCBS
VT
01
—
10139
MVP
VT
05
—
500790716
—
OR
05
—
OVN0078
—
VT
Enumeration date
07/03/2006
Last updated
02/03/2022
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