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1124551601

NPI Code Detail

MEDICARE: MICHAEL HARRISON PARKER MD

MEDICARE: MICHAEL HARRISON PARKER MD

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
1	2086S0129X	Vascular Surgery Physician	042.0017730	VT
2	2086S0129X	Vascular Surgery Physician	330466	NY
3	208600000X	Surgery Physician	036.159691	IL
4	2086S0129X	Vascular Surgery Physician	036159691	IL

General Provider Information

NPI Number	:	1124551601
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL HARRISON PARKER MD

Provider Business Mailing Address
First Line	:	111 COLCHESTER AVE
Second Line	:	MAIN CAMPUS, MAIN PAVILION, LEVEL 5
City	:	BURLINGTON
State	:	VT
Zip	:	05401-1473
Country	:	US
Telephone Number	:	802-847-4548
Fax Number	:	802-847-3581

Provider Business Practice Location Address
First Line	:	111 COLCHESTER AVENUE
Second Line	:	MAIN CAMPUS, MAIN PAVILION, LEVEL 5
City	:	BURLINGTON
State	:	VT
Zip	:	05401-1473
Country	:	US
Telephone Number	:	802-847-4548
Fax Number	:	802-847-3581

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2017
Last Update Date	:	02/10/2026

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Directions to “ MICHAEL HARRISON PARKER MD” Practice Location

Language	Start Address	Practice Location

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