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Individual

MAYNARD B WHEELER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
248 PLEASANT STREET, SUITE 1600, CONCORD, NH 03301-2588
(603) 224-2020
(603) 228-0248
Mailing address
248 PLEASANT STREET, SUITE 1600, CONCORD, NH 03301-2588
(603) 224-2020
(603) 228-0248

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
11342
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01Y003547NH01
ANTHEM
NH
05
30201794
NH
01
330443
CIGNA
NH
Enumeration date
08/09/2005
Last updated
08/17/2017
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