Individual
DR. MARYELLEN CLEARY ANTKOWIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 COLCHESTER AVE., UVM MEDICAL CENTER - PULMONARY & CRITICAL CARE MEDICINE, BURLINGTON, VT 05401
(802) 847-1158
(802) 847-2444
Mailing address
111 COLCHESTER AVE., UVM MEDICAL CENTER - PULMONARY & CRITICAL CARE MEDICINE, BURLINGTON, VT 05401
(802) 847-1158
(802) 847-2444
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042-0012284
VT
Other
Enumeration date
03/25/2008
Last updated
06/15/2015
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