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Individual

DR. SUSAN SHULL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D., PH.D.

Contact information

Practice address
5138 SHELBURNE RD, SUITE 12, SHELBURNE, VT 05482-6698
(802) 985-2585
(802) 985-5092
Mailing address
PO BOX 850, SHELBURNE, VT 05482-0850
(802) 985-2585
(802) 985-5092

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042-0010041
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0002349
VT
Enumeration date
07/19/2006
Last updated
07/08/2007
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