Provider Demographics
NPI:1831205673
Name:DUNNING, SUSAN PATRICIA (MD)
Entity type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:PATRICIA
Last Name:DUNNING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 YACHT HAVEN DR
Mailing Address - Street 2:
Mailing Address - City:SHELBURNE
Mailing Address - State:VT
Mailing Address - Zip Code:05482-7773
Mailing Address - Country:US
Mailing Address - Phone:802-985-5069
Mailing Address - Fax:
Practice Address - Street 1:1 SOUTH PROSPECT STREET, ARNOLD 2
Practice Address - Street 2:UVM MEDICAL CENTER
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401
Practice Address - Country:US
Practice Address - Phone:802-847-5338
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2015-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT042-0009058207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT59207OtherBC/BS
VT361743OtherMVP
VT1009371Medicaid
VTG20537Medicare UPIN
VT361743OtherMVP