Individual provider · Type 1 NPI
Glen Carlisle Mackenzie, MD
Gynecology Physician · Manchester Center, VT
NPI number
1306926704
Active
Practice location
1009 Depot St
Manchester Center, VT 05255-9731
Fax (802) 442-8658
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 0420009174 (VT) |
| Gynecology Physician Primary | 207VG0400X | 0420009174 (VT) |
Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
3 other providers at this address
About NPI 1306926704
Glen Carlisle Mackenzie, MD's National Provider Identifier is 1306926704, issued on Oct 17, 2006. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in Manchester Center, VT. The record was last updated on Jun 17, 2022.