Individual
DR. DIANE CHARLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
71 KNIGHT LN, SUITE 10, WILLISTON, VT 05495-4432
(802) 872-7001
Mailing address
71 KNIGHT LN, SUITE 10, WILLISTON, VT 05495-4432
(802) 872-7001
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
0420010080
VT
208800000X
Urology Physician
Primary
0420010080
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN2378
—
VT
01
—
P00244985
RAIL ROAD MEDICARE
VT
Enumeration date
05/22/2006
Last updated
01/09/2008
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