Individual
MITCHELL ANDREW STOTLAND
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) 650-8068
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-8068
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
10106
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0RE4555
—
VT
05
—
30010608
—
NH
Enumeration date
07/20/2006
Last updated
08/01/2011
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