Individual
MARIA BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-2345
Mailing address
5836 LONG BRAKE TRL, EDINA, MN 55439-2622
(612) 597-0344
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042-0016991
VT
207R00000X
Internal Medicine Physician
322428
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2020
Last updated
07/17/2023
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