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Individual

DR. MARGA S SPROUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
883 BLAKELY RD, COLCHESTER, VT 05446-4417
(802) 847-2055
Mailing address
G8 STONEHEDGE DR, S BURLINGTON, VT 05403-7369
(802) 881-8097

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0420006091
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0004867
VT
05
00683376
NY
Enumeration date
07/18/2006
Last updated
07/08/2007
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