Individual
JON WALTER WAHRENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-7840
(603) 640-1228
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-7840
(603) 650-6164
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
8569
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001829
—
VT
05
—
80001829
—
NH
Enumeration date
06/01/2006
Last updated
12/16/2025
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