Individual
MICHAEL L LANDSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
30 HAWTHORNE ST, WILLISTON, VT 05495-8212
(802) 861-0111
(802) 861-2812
Mailing address
70 BRICKYARD RD, ESSEX JUNCTION, VT 05452-4346
(802) 872-0027
(802) 861-2812
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
104-0000019
VT
Other
Enumeration date
09/19/2005
Last updated
08/27/2009
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