Individual
DR. MAUDE OETKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
170 MIDDLE ST, LANCASTER, NH 03584-3556
(603) 788-2521
(603) 788-5027
Mailing address
173 MIDDLE ST, LANCASTER, NH 03584-3508
(603) 788-5029
(603) 788-5027
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
10534
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3073542
—
NH
05
—
OVN1083
—
VT
Enumeration date
12/22/2005
Last updated
08/24/2017
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