Individual
CHRISTOPHER WAITT WILEY
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) 650-5922
(603) 650-8980
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5922
(603) 650-8980
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
8836
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001490
—
VT
05
—
80002393
—
NH
Enumeration date
06/26/2006
Last updated
07/27/2011
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