Lake Champlain Physician Services
NPI #1083915268 in Plattsburgh, New York
Provider Information
- NPI Number
- 1083915268
- Entity Type
- Organization
- Organization Name
- Lake Champlain Physician Services
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Nov 4, 2010
- Last Updated
- Nov 4, 2010
Practice Location
- Address
- 210 CORNELIA ST
- Address 2
- SUITE 303
- City
- Plattsburgh
- State
- New York
- ZIP Code
- 12901-2318
- Phone
- (518) 562-7541
Authorized Official
- Name
- DR. WOUTER RIETSEMA, M.D.
- Title
- PRESIDENT
- Phone
- (518) 562-7330
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Cardiovascular Disease — Cardiovascular Disease |
| Internal Medicine |
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