Individual
DANIEL BAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-2345
Mailing address
265 LANDMARK LN APT 11, STOWE, VT 05672-5287
(802) 371-7245
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
042.0017765
VT
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/26/2021
Last updated
09/25/2024
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