Individual
KRISTOFER E ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1330 EXCHANGE ST, SUITE 202 PORTER ENT, MIDDLEBURY, VT 05753-4425
(802) 388-7037
(802) 388-5657
Mailing address
104 PORTER DR, PORTER PRACTICE MANAGEMENT, MIDDLEBURY, VT 05753-8527
(802) 388-8808
(802) 388-8322
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0420011127
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012756
—
VT
Enumeration date
08/02/2006
Last updated
05/13/2008
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