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NPI Code Detail

MEDICARE: MICHAEL CHRISTOPHER DEE PT

MEDICARE: MICHAEL CHRISTOPHER DEE PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist040-0002383VT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
27304860OTHERVTCIGNA
318462OTHERVTBC/BS
443V088OTHERVTMVP
54694601OTHERVTVT MANAGED CARE

General Provider Information

NPI Number : 1134169113
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL CHRISTOPHER DEE PT
Provider Business Mailing Address
First Line : 23 SAN REMO DR
Second Line : SUITE 101
City : SOUTH BURLINGTON
State : VT
Zip : 05403-6343
Country : US
Telephone Number : 802-865-0010
Fax Number : 802-865-0050
Provider Business Practice Location Address
First Line : 23 SAN REMO DR
Second Line : SUITE 101
City : SOUTH BURLINGTON
State : VT
Zip : 05403-6343
Country : US
Telephone Number : 802-865-0010
Fax Number : 802-865-0050
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2006
Last Update Date : 07/08/2007

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Directions to “ MICHAEL CHRISTOPHER DEE PT” Practice Location

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