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Individual

MICHAEL SARGENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
792 COLLEGE PKWY, COLCHESTER, VT 05446-3052
(802) 847-4914
Mailing address
34 HADLEY RD, SOUTH BURLINGTON, VT 05403-6114

Taxonomy

Speciality
Code
Description
License number
State
2080S0010X
Pediatric Sports Medicine Physician
Primary
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01896262
NY MEDICAID
NY
05
1004391
VT
Enumeration date
07/26/2006
Last updated
07/08/2007
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