Individual
DR. MICHAEL B SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5155
(603) 650-2097
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5155
(603) 650-2097
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
10404
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0RE4900
—
VT
05
—
30011628
—
NH
Enumeration date
06/23/2006
Last updated
06/13/2011
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