Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THEODORE R WISSINK, MD
ActiveDR. THEODORE R WISSINK, MD is a Family Medicine healthcare provider located in SOUTH BURLINGTON, Vermont. NPI 1124193503 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SOUTH BURLINGTON, VT
Registration Details
- NPI Number
- 1124193503
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 21, 2006 (19.694141775748 yrs)
- Last Updated
- Dec 22, 2025
- Licenses
-
017817 (ME)042.0019084 (VT)
Practice Information
- Address
-
118 TILLEY DR STE 201SOUTH BURLINGTON, VT, 054034450Browse VT providers · Browse ZIP 05403
- Phone
- 8028475550
- Fax
- 8028473646
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in SOUTH BURLINGTON, VT
| Name | Credential | NPI |
|---|---|---|
| DR. CLARA M KEEGAN | MD | 1770542631 |
| MICHEAL R SIROIS | M.D. | 1134160419 |
| GARRY RICHARD WEISCHEDEL | MD | 1699706317 |
| DR. ALLYSON M BOLDUC | M.D. | 1942226121 |
| DR. ROBERT A LUEBBERS | M.D. | 1124042627 |
| DR. TINA MARIE D'AMATO | D.O. | 1902957020 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.