Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | 042.0014038 | VT |
NPI | 1992071757 |
---|---|
Provider Name | Dr. John W Karl |
First Address | Rutland, VT 05701-4560 |
Second Address | Rutland, VT 05701-4560 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2012 |
Last Update Date | 15/09/2020 |