SearchVermont207RC0000X

Tyler Wark, MD

NPI 1871085134 · on the registry since 2018 · sole proprietor

Practice

Address
115 Porter Dr
Middlebury, VT 05753
Phone
(802) 388-4701
Organisation at this address
Porter Hospital Inc
Porter Hospital Inc
Porter Hospital Inc
Porter Hospital Inc
Porter Hospital Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
71

Additional practice sites

  • 111 Colchester Ave, Burlington, VT
  • 593 Eddy St, Providence, RI

Registry record

Primary taxonomy
207RC0000X
207RC0000X
Also registered as
207R00000X
207RC0000X
Licence states on file
RI, VT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-08-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Vermont