Individual
DR. THOMAS H DETWILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
248 PLEASANT ST, SUITE 203, CONCORD, NH 03301-2588
(603) 225-5281
(603) 228-7095
Mailing address
248 PLEASANT ST, SUITE 203, CONCORD, NH 03301-2588
(603) 225-5281
(603) 228-7095
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
0290
NH
213ES0103X
Foot & Ankle Surgery Podiatrist
0290
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30360588
—
NH
Enumeration date
05/15/2006
Last updated
11/20/2009
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