MICHAEL DEREVENSKY

BURLINGTON, VT
NPI1740975689
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-04-06
Last Update Date2023-04-06
Business Address
MICHAEL DEREVENSKY MD
111 COLCHESTER AVE
BURLINGTON, VT 05401-1473
Phone number: 802-847-2345
Mailing Address
MICHAEL DEREVENSKY MD
111 COLCHESTER AVE
BURLINGTON, VT 05401-1473
Phone number:
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