Individual
STEPHEN H. GENEREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
65 MAIN ST, WELLS RIVER, VT 05081
(802) 757-2325
(855) 868-7197
Mailing address
PO BOX 8, NEWBURY, VT 05051-0008
(802) 222-3026
(855) 868-7197
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
420007871
VT
207Q00000X
Family Medicine Physician
9110
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009211
—
VT
01
—
080058695
RAIL ROAD MEDICARE
VT
Enumeration date
05/24/2006
Last updated
12/02/2024
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