Individual
DR. THOMAS KRISTIANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
792 COLLEGE PKWY, COLCHESTER, VT 05446-3052
(802) 847-4914
Mailing address
10 KNOLL CIR, SOUTH BURLINGTON, VT 05403-7639
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005587
—
VT
Enumeration date
07/13/2006
Last updated
07/08/2007
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