Individual
DR. JACEK MYSIOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
875 ROOSEVELT HWY STE 132, COLCHESTER, VT 05446-4460
(802) 864-7483
(802) 660-4337
Mailing address
875 ROOSEVELT HWY STE 132, COLCHESTER, VT 05446-4460
(802) 864-7483
(802) 660-4337
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
042.0015577
VT
207RG0100X
Gastroenterology Physician
117168
AK
Other
Enumeration date
10/04/2010
Last updated
08/20/2024
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