Individual
FREDERICK PETER SPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
590 COURT ST, KEENE, NH 03431-1719
(603) 354-5454
Mailing address
590 COURT ST, KEENE, NH 03431-1719
(603) 354-5454
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
1204
NH
207RG0100X
Gastroenterology Physician
G31103
CA
207RG0100X
Gastroenterology Physician
MD00041085
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30203424
—
NH
Enumeration date
07/07/2006
Last updated
04/12/2012
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