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Mr. Glen Carlisle Mackenzie, MD
Gynecology Physician in Manchester Center, Vermont
NPI 1306926704

Glen Carlisle Mackenzie is a Gynecology Physician based in Manchester Center, VT and is specialized in Gynecology. Glen Carlisle Mackenzie practices in Manchester Center, VT and has the professional credentials of MD. The NPI Number for Glen Carlisle Mackenzie is 1306926704 and holds a License No. 0420009174 (Vermont).

The current practice location address for Glen Carlisle Mackenzie is 1009 Depot St, Manchester Center, VT and can be reached out via phone at 802-442-8649 and via fax at 802-442-8658.

Location: 1009 Depot St, Manchester Center, VT, 05255-9731
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306926704
Provider Name
Glen Carlisle Mackenzie
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1009 Depot St, Manchester Center, VT, 05255-9731
Phone Number
802-442-8649
Fax Number
802-442-8658
Provider Enumeration Date
10/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OVN1210 05 VT
institution
Provider Business Practice Location Address Details
Address
1009 Depot St
City
Manchester Center
State
Vermont
Zip
05255-9731
Phone Number
802-442-8649
Fax Number
802-442-8658
person
Provider Business Mailing Address Details
Address
1009 Depot St
City
Manchester Center
State
Vermont
Zip
05255-9731
Phone Number
802-442-8649
Fax Number
802-442-8658
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
0420009174 (Vermont)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
207VG0400X
License No.
0420009174 (Vermont)
Definition
Definition to come...
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