Individual
DR. CHRISTINE M. STAATS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
32 EAST MALLETTS BAY AVE., WINOOSKI, VT 05404
(802) 655-4422
Mailing address
32 EAST MALLETTS BAY AVE., WINOOSKI, VT 05404
(802) 655-4422
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0420010953
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011701
—
VT
Enumeration date
05/18/2006
Last updated
10/19/2010
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