Individual
DANIEL UNDERBAKKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 SAINT JOHNSBURY RD, LITTLETON, NH 03561-3442
(800) 464-7731
Mailing address
600 SAINT JOHNSBURY RD, LITTLETON, NH 03561-3442
(800) 464-7731
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
18376
NH
Other
Enumeration date
04/14/2014
Last updated
06/19/2020
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