MR. Glen Carlisle Mackenzie, MD

NPI #1306926704 in Manchester Center, Vermont

Provider Information

NPI Number
1306926704
Entity Type
Individual
Name
MR. Glen Carlisle Mackenzie, MD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Obstetrics & Gynecology - Gynecology
Credential
MD
Enumeration Date
Oct 17, 2006
Last Updated
Jun 17, 2022

Practice Location

Address
1009 DEPOT ST
State
Vermont
ZIP Code
05255-9731
Phone
(802) 442-8649

Specialties & Taxonomy Codes

Specialty
Obstetrics & Gynecology
Obstetrics & Gynecology - GynecologyGynecology

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