PETER C. STICKNEY, MD PC
Osteopathic Medicine in Mill Village, VT

License number
Vermont 0420004909
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: PETER C. STICKNEY MD
Title: PRESIDENT
Phone: (802) 773-2626
Address
Address
69 Allen St Suite #5, Mill Village, VT 05701
National Provider ID: 1902144405
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PETER C. STICKNEY, M.D., PC

69 Allen St, Rutland, VT

Registration:
Dec 22, 1993
State ID:
0111083
Business type:
Domestic Profit Corporation
Agent:
Christopher Corsones,69 Allen St, Rutland, VT (Mailing)
1 Nickwackett St, Rutland, VT (Physical)

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