OrganizationActive
Glen Mackenzie MD PC
NPI 1467806067 · Gynecology Physician · Manchester Center, VT
Provider details
- NPI number
- 1467806067
- Entity type
- Organization
- Primary specialty
- Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Glen Mackenzie, President(802) 442-8649
- License
- 420009174 (VT)
Specialties & taxonomies
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
- 2016-04-20
- 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.