Organization
STADELMANN CENTER FOR PLASTIC SURGERY, P.C.
Active
Other names
Wayne K. Stadelmann, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE K. STADELMANN M.D. (PRESIDENT)
(603) 224-5200
Entity
Organization
Contact information
Practice address
248 PLEASANT ST, SUITE 201, CONCORD, NH 03301-2588
(602) 224-5200
(603) 224-5091
Mailing address
248 PLEASANT ST, SUITE 201, CONCORD, NH 03301-2588
(602) 224-5200
(603) 224-5091
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
11822
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RE7067
MEDICARE INDIVIDUAL PROV#
NH
01
—
RE7068
MEDICARE GROUP PROV#
NH
Enumeration date
09/10/2007
Last updated
10/16/2009
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