Dr. Donald Mark Mazanowski, M.D.
Family Medicine in Keene, NH. Individual provider (NPI-1).
NPI number1609961069
StatusActive
Last updated in NPPESApr 5, 2012
Details
- NPI
- 1609961069
- Entity type
- Individual (NPI-1)
- Name
- Dr. Donald Mark Mazanowski
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 3, 2006
- Last updated
- Apr 5, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 7917 | NH | Yes |
Practice location
590 Court StKeene, NH 03431-1719
Phone 603-354-5400
Mailing address
590 Court StKeene, NH 03431-1719
Phone 603-354-5400
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