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Organization

NORTHWESTERN MEDICAL CENTER, INC.

Active
Other names
Northwestern Lifestyle Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
MARY PIGEON (CREDENTIALING SPECIALIST)
(802) 524-8954
Entity
Organization

Contact information

Practice address
260 CREST RD, SUITE 202, SAINT ALBANS, VT 05478-9503
(802) 524-8849
(802) 524-8498
Mailing address
260 CREST RD, SUITE 202, SAINT ALBANS, VT 05478-9503
(802) 524-8849
(802) 524-8498

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
03/07/2016
Last updated
03/11/2016
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