Mark C. Stickney, MD, LLC

Organization Active NPI Internal Medicine Physician · Rutland, VT

NPI 1295047967 · NPPES record last updated Jul 9, 2010

Key facts

NPI
1295047967
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
License
042-0007705 (VT)
Legal business name
MARK C. STICKNEY, MD, LLC
Practice address
3 Commons St
Rutland, VT 05701-4652
Phone
(802) 773-7155
NPI assigned
Jul 9, 2010
Organization subpart
No

Authorized official

Name
Mark Stickney NPI 1184633844
Title
M.D.
Phone
(802) 773-7155

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

3 Commons St
Rutland, VT 05701
Phone (802) 773-7155

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207R00000X 042-0007705 VT Yes

Addresses

Primary practice location

3 Commons St
Rutland, VT 05701-4652

Mailing address

3 Commons St
Rutland, VT 05701-4652

Other providers in Rutland, VT

All providers in Rutland, VT · Internal Medicine Physician in Vermont

Sources for this page

Verify at the official NPI Registry.