Individual
MARCUS SIDNEY SHAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 653-9885
(603) 640-1228
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 653-9885
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
12538
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010922
—
VT
05
—
30204685
—
NH
Enumeration date
08/15/2006
Last updated
01/09/2026
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