Provider Information for 1518512193
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MICHELE DENISE PILZ LCHMC
Sex: Female
NPI: 1518512193
Last Updated: 2023-04-17
Certification Date: 2023-04-17
Certification Date: 2023-04-17
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1518512193 | ||||||||||||
| Enumeration Date | 2019-08-09 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 160 ALLEN ST RUTLAND, VT 05701-4560 United States Phone: 802-747-1831 | Fax:802-747-1826 | ||||||||||||
| Primary Practice Address | 160 ALLEN ST RUTLAND, VT 05701-4560 United States Phone: 802-747-1831 | Fax:802-747-1826 | ||||||||||||
| Secondary Practice Address(es) | 275 ROUTE 30 N | ||||||||||||
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