Individual provider · Type 1 NPI
Mark L. Wulkan, MD
Pediatric Surgery Physician · Burlington, VT
NPI number
1053409698
Active
Practice location
111 Colchester Ave
Burlington, VT 05401-1473
Fax (802) 847-4462
Other practice locations
- 1 Perkins Sq, Akron, OH 44308-1063 · (330) 543-1000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | 045676 (GA) |
| Pediatric Surgery Physician | 2086S0120X | 35.139193 (OH) |
| Pediatric Surgery Physician Primary | 2086S0120X | 042.0018422 (VT) |
Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
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About NPI 1053409698
Mark L. Wulkan, MD's National Provider Identifier is 1053409698, issued on Oct 10, 2006. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Burlington, VT. The record was last updated on Jun 3, 2025.