Individual
DR. JERRY M LINSEISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
528 WASHINGTON HWY, MORRISVILLE, VT 05661-8973
(802) 888-4231
(802) 888-8203
Mailing address
528 WASHINGTON HWY, MORRISVILLE, VT 05661-8973
(802) 888-4231
(802) 888-8203
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0420013437
VT
207Q00000X
Family Medicine Physician
050012345
ME
390200000X
Student in an Organized Health Care Education/Training Program
EC131111
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001761
—
VT
Enumeration date
07/05/2006
Last updated
08/18/2016
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