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Individual

DR. STEPHEN JOHN KIRWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
36 CENTER ST # 5, WOLFEBORO, NH 03894-4324
(603) 569-8500
(603) 569-8905
Mailing address
PO BOX 1196, 36 CENTER ST. #5, WOLFEBORO FALLS, NH 03896-1196
(603) 569-8500
(603) 569-8905

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0686
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0686
STATE LICENSE NUMBER
NH
01
09Y002591NH01
BC/BS
NH
01
4993990001
DMERC REGION A
Enumeration date
09/27/2006
Last updated
03/14/2023
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