CHAMPLAIN SPORTS MEDICINE PC

ESSEX JUNCTION, VT
NPI1518106491
Entity TypeOrganization
Authorized ContactJOHN RUSSELL JOHANSSON
Owner/Physician
802-878-1003
Organization Subpart ?No
Primary Taxonomy204C00000X Neuromusculoskeletal Medicine, Sports Medicine
(Licence: VT  0320000304)
Additional Taxonomies204C00000X Neuromusculoskeletal Medicine, Sports Medicine
Enumeration Date2009-02-17
Last Update Date2017-06-13
Business Address
CHAMPLAIN SPORTS MEDICINE PC
67 LINCOLN ST
ESSEX JUNCTION, VT 05452-3235
Phone number: 802-878-1003
Mailing Address
CHAMPLAIN SPORTS MEDICINE PC
67 LINCOLN ST
ESSEX JUNCTION, VT 05452-3235
Phone number: 802-878-1003
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JOHN RUSSELL JOHANSSON