Individual
WAYNE K. STADELMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
246 PLEASANT ST, SUITE 210, CONCORD, NH 03301-2588
(603) 224-5200
(603) 224-5091
Mailing address
246 PLEASANT ST, SUITE 210, CONCORD, NH 03301-2548
(603) 224-5200
(603) 224-5091
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
RE7068
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932107216
—
NH
Enumeration date
07/12/2005
Last updated
02/03/2011
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