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Individual

RICHARD E NORDGREN

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) 653-9669
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000

Taxonomy

Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
4710
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00000222
NH
05
0004261
VT
Enumeration date
08/10/2006
Last updated
08/26/2011
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