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Individual

MARK KENNETH DETWEILER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1B COMMONS DR, UNIT 9A, LONDONDERRY, NH 03053-3441
(603) 818-4712
(603) 421-6899
Mailing address
1B COMMONS DR, UNIT 9A, LONDONDERRY, NH 03053-3441
(603) 818-4712
(603) 421-6899

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6919
NH
207RG0100X
Gastroenterology Physician
6919
NH

Other

Enumeration date
10/25/2006
Last updated
04/24/2019
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