Individual
STEPHANIE DAWN NEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
NORTHERN VERMONT DERMATOLOGY, 53 FAIRFAX ROAD SUITE 2, ST. ALBANS, VT 05478
(833) 688-3376
Mailing address
370 SHELBURNE RD., #4452, SOUTH BURLINGTON, VT 05403
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
042.0013164
VT
207N00000X
Dermatology Physician
4301086785
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4819846
—
MI
Enumeration date
07/10/2006
Last updated
09/22/2020
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