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Individual

DR. DAVID M. BISBEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
53 OLD FARM ROAD, STOWE, VT 05672-0357
(802) 253-5020
(802) 253-5021
Mailing address
PO BOX 357, 53 OLD FARM ROAD, STOWE, VT 05672-0357
(802) 253-5020
(802) 253-5021

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0420007377
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00005858
BLUE CROSS
VT
01
043358048
COMMERCIAL INSURANCE
VT
01
080185842
RAILROAD MEDICARE
VT
01
566280
CIGNA
VT
01
78204
MVP
VT
05
PENDING
VT
Enumeration date
06/16/2005
Last updated
01/22/2014
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