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Individual

MATTHEW W. WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
111 COLCHESTER AVE, FAHC - WP 2, BURLINGTON, VT 05401-1473
(802) 847-2415
(802) 847-5324
Mailing address
111 COLCHESTER AVE, FAHC - WP 2, BURLINGTON, VT 05401-1473
(802) 847-2415
(802) 847-5324

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0420010772
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02621474
NY
05
1011109
VT
Enumeration date
06/16/2006
Last updated
12/22/2021
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