Individual
DR. MICHAEL L BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-6823
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
9269
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0RE3340
—
VT
05
—
80003340
—
NH
Enumeration date
06/14/2006
Last updated
09/23/2011
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