Individual
SUSAN ANN MAYDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
590 COURT ST, KEENE, NH 03431-1719
(603) 354-5400
Mailing address
113 PINE CLIFF RD, ALSTEAD, NH 03602-3817
(603) 835-2294
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0465
NH
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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