Individual
DR. DONALD OWEN KOLLISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
93 E WHEELOCK ST, HANOVER, NH 03755-1605
(603) 643-5572
Mailing address
93 E WHEELOCK ST, HANOVER, NH 03755-1605
(603) 643-5572
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6251
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82086977
—
NH
Enumeration date
07/18/2006
Last updated
05/07/2013
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