Individual provider · Type 1 NPI

Theodore R. Wissink, MD

Family Medicine Physician · South Burlington, VT

NPI number 1124193503 Active

Practice location

118 Tilley Dr Ste 201
South Burlington, VT 05403-4450

Fax (802) 847-3646

Mailing address

111 Colchester Ave
Burlington, VT 05401-1473

Other practice locations

  • 272 Congress St, Portland, ME 04101 · (207) 874-2466

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X017817 (ME)
Family Medicine Physician Primary 207Q00000X042.0019084 (VT)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2 other providers at this address

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About NPI 1124193503

Theodore R. Wissink, MD's National Provider Identifier is 1124193503, issued on Nov 21, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in South Burlington, VT. The record was last updated on Dec 22, 2025.