Individual
WAYNE TEMMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
590 COURT ST, KEENE CLINIC CHESHIRE MEDICAL CTR, KEENE, NH 03431
(603) 354-5400
Mailing address
PO BOX 656, BRATTLEBORO, VT 05302-0656
(802) 254-9441
(802) 254-3233
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00019611
BC/VT
VT
Enumeration date
07/20/2006
Last updated
12/31/2009
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