Individual
MICHAEL SHANE CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18 OLD ETNA RD, DH - DERMATOLOGY, LEBANON, NH 03766
(603) 650-3100
(603) 650-3174
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
10606
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0RE5262
—
VT
05
—
30200241
—
NH
Enumeration date
08/01/2006
Last updated
12/22/2014
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