Provider Demographics
NPI:1841214889
Name:GIERING, ROBERT (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:GIERING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3505 RICHVILLE RD
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER CENTER
Mailing Address - State:VT
Mailing Address - Zip Code:05255-9812
Mailing Address - Country:US
Mailing Address - Phone:802-366-1144
Mailing Address - Fax:802-768-8466
Practice Address - Street 1:3505 RICHVILLE RD
Practice Address - Street 2:
Practice Address - City:MANCHESTER CENTER
Practice Address - State:VT
Practice Address - Zip Code:05255-9812
Practice Address - Country:US
Practice Address - Phone:802-366-1144
Practice Address - Fax:802-768-8466
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0420010807208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
T13235Medicare UPIN
VN3468Medicare ID - Type Unspecified