Individual
MATTHEW WALTER WILKENING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17 RIVERSIDE ST STE 101, NASHUA, NH 03062-1383
(603) 883-0091
(603) 881-3739
Mailing address
17 RIVERSIDE ST STE 101, NASHUA, NH 03062-1383
(603) 883-0091
(603) 881-3739
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
19553
NH
207X00000X
Orthopaedic Surgery Physician
4301103221
MI
207X00000X
Orthopaedic Surgery Physician
D85867
MD
207XS0117X
Orthopaedic Surgery of the Spine Physician
19553
NH
Other
Enumeration date
06/18/2013
Last updated
11/20/2023
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