IndividualActive
Glen Mackenzie, MD
NPI 1306926704 · Gynecology Physician · Manchester Center, VT
Provider details
- NPI number
- 1306926704
- Entity type
- Individual
- Primary specialty
- Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0420009174 (VT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1009 Depot St
Manchester Center, VT 05255-9731
Phone: (802) 442-8649
Fax: (802) 442-8658
Approximate (ZIP-level) locationGet directions
Mailing address
1009 Depot St
Manchester Center, VT 05255-9731
Registry dates
- Enumerated
- 2006-10-17
- Last updated
- 2022-06-17
- Certified
- 2022-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.