Individual
MICHAEL KORCZYKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
141 SHAMROCK RD, SOUTH BURLINGTON, VT 05403-5801
(802) 338-3553
(802) 338-3532
Mailing address
141 SHAMROCK RD, SOUTH BURLINGTON, VT 05403-5801
(802) 338-3553
(802) 338-3532
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0550031038
VT
Other
Enumeration date
12/13/2006
Last updated
05/14/2013
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