Individual
DR. DORIS BEA STRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 COLCHESTER AVE, SMITH 247A, BURLINGTON, VT 05401-1473
(802) 847-2554
Mailing address
241 E SHORE N, GRAND ISLE, VT 05458-2318
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
042-0010537
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009436
—
VT
Enumeration date
08/09/2006
Last updated
07/08/2007
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