Individual
CORY ROBERT OESTERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
185 TILLEY DR, SOUTH BURLINGTON, VT 05403-4484
(802) 879-1703
(802) 863-9299
Mailing address
185 TILLEY DR, SOUTH BURLINGTON, VT 05403-4484
(802) 879-1703
(802) 863-9299
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
104.0089067
VT
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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