Individual
DR. MARVIN KLIKUNAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
353 BLAIR PARK RD, WILLISTON, VT 05495-7530
(802) 847-1470
(802) 847-7135
Mailing address
93 UPPER MEADOWS LN, CHARLOTTE, VT 05445-9015
(802) 425-3818
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042-8569
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN0454
—
VT
Enumeration date
08/03/2006
Last updated
07/08/2007
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