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Individual

DR. JOHANNES CHRISTIAN NUNNINK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 656-0546
Mailing address
PO BOX 1063, 111 COLCHESTER AVE, BURLINGTON, VT 05402-1063
(802) 847-5465
(802) 656-5493

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
042-0006659
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0005418
VT
Enumeration date
07/05/2005
Last updated
02/13/2014
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