DR. Theodore R Wissink, MD

NPI #1124193503 in South Burlington, Vermont

Provider Information

NPI Number: 1124193503
Entity Type: Individual
Name: DR. Theodore R Wissink, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Nov 21, 2006
Last Updated: Dec 22, 2025

Practice Location

Address: 118 TILLEY DR STE 201
City: South Burlington
State: Vermont
ZIP Code: 05403-4450
Phone: (802) 847-5550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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