Individual
DR. EMMETT E WHITAKER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-2415
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-4200
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
042.0013903
VT
207L00000X
Anesthesiology Physician
D73475
MD
207LP2900X
Pain Medicine (Anesthesiology) Physician
35.121452
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
D73475
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0094956
—
OH
Enumeration date
02/08/2007
Last updated
10/26/2023
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