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Individual

DR. MICHAEL BLANKSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, FRCSC

Contact information

Practice address
192 TILLEY DRIVE, (4380C1), SOUTH BURLINGTON, VT 05403
(802) 847-2663
Mailing address
192 TILLEY DRIVE, (4380C1), SOUTH BURLINGTON, VT 05403
(802) 847-2663

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0420012703
VT
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
0420012703
VT
207XX0801X
Orthopaedic Trauma Physician
Primary
0420012703
VT

Other

Enumeration date
08/12/2013
Last updated
10/22/2013
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