Individual
CRAIG R VANTUINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2225 PORTLAND STREET, ST JOHNSBURY, VT 05819
(802) 748-3181
(802) 748-0704
Mailing address
13 WINOOSKI STREET, PO BOX 78, WATERBURY, VT 05676-0078
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
042-0007844
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN0268
—
VT
Enumeration date
02/08/2007
Last updated
06/13/2012
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