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Individual

MR. STANLEY E. GRZYB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1840 SUGARBUSH ACCESS ROAD, WARREN, VT 05674-9747
(802) 847-9005
Mailing address
PO BOX 1063, BURLINGTON, VT 05402-1063

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
042.0006694
VT
207XS0117X
Orthopaedic Surgery of the Spine Physician
A20006694
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18V003
MVP
Enumeration date
09/13/2006
Last updated
11/08/2012
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