Basic Information
| Provider Information | |||||||||
| NPI: | 1992064281 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GAUKLER | ||||||||
| FirstName: | EMILY | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 186 SPAULDING RD | ||||||||
| Address2: | |||||||||
| City: | PANTON | ||||||||
| State: | VT | ||||||||
| PostalCode: | 054919395 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 82 CATAMOUNT PARK | ||||||||
| Address2: | ADDISON FAMIY MEDICINE | ||||||||
| City: | MIDDLEBURY | ||||||||
| State: | VT | ||||||||
| PostalCode: | 05753 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8023887185 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/08/2012 | ||||||||
| LastUpdateDate: | 12/08/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 0420013614 | VT | Y | Allopathic & Osteopathic Physicians | Internal Medicine | 208000000X | 0420013614 | VT | N | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.