Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 016-0000537 | VT |
NPI | 1194769208 |
---|---|
Provider Name | Dr. George J Schuetz |
First Address | Wilder, VT 05088-0429 |
Second Address | Wilder, VT 05088-0429 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2006 |
Last Update Date | 08/07/2007 |