Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 11014662A | IN |
N | 208600000X | Surgeon | 11014662A | IN |
Y | 2086S0120X | Pediatric Surgery | 16990 | NH |
NPI | 1417193590 |
---|---|
Provider Name | Dr. Reto M Baertschiger |
First Address | Lebanon, NH 03756-1000 |
Second Address | Lebanon, NH 03756-1000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2008 |
Last Update Date | 10/08/2015 |