Glen Mackenzie MD PC
Glen Mackenzie MD PC provides Gynecology Physician services in Manchester Center, Vermont. Licensed in Vermont. Registered with an NPI since 2016.
- Licensed in
- VT
- In the registry since
- 2016
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1009 Depot StManchester Center, VT 05255-9731
Phone: (802) 442-8649
Fax: (802) 442-8658
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gynecology Physician (primary) | Taxonomy 207VG0400X · Licence 420009174 (VT) |
|---|
Record details
| NPI number | 1467806067 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Glen Mackenzie — President · (802) 442-8649 |
| NPI enumerated | April 20, 2016 |
| Last updated in NPPES | June 17, 2022 |
| Certification date | June 17, 2022 |
| Mailing address | 1009 Depot St, Manchester Center, VT 05255-9731 |