Michelle A Guiliano-King, DPM

Individual provider Active NPI Podiatrist · Rutland, VT

NPI 1104045822 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1104045822
Entity type
Individual (NPI type 1)
Primary specialty
Podiatrist 213E00000X
License
056-0000176 (VT)
Practice address
162 N Main St # 10
Rutland, VT 05701-3024
Phone
(802) 775-2600
Fax
(802) 775-2662
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
056-0000176VTMDPodiatrist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 056-0000176 VT Yes

Addresses

Primary practice location

162 N Main St # 10
Rutland, VT 05701-3024

Mailing address

3773 Upper Cold River Rd
Shrewsbury, VT 05738-9512
Phone (802) 775-0966

Other names

  • Michelle A Guiliano Former name

Other providers in Rutland, VT

All providers in Rutland, VT · Podiatrist in Vermont

Sources for this page

Verify at the official NPI Registry.