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Individual

GARRY RICHARD WEISCHEDEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1775 WILLISTON ROAD, SOUTH BURLINGTON, VT 05403
(802) 847-8500
(802) 847-6140
Mailing address
20 WINDRIDGE ROAD, ESSEX JUNCTION, VT 05452
(802) 879-6971

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0420009937
VT
207Q00000X
Family Medicine Physician
44142
WI
207Q00000X
Family Medicine Physician
44498
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34170200
WI
05
OVN2084
VT
Enumeration date
07/05/2006
Last updated
07/08/2007
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