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Organization
MARYLAND MOBILE ANESTHESIA SERVICES INC
Active
Organization
MARYLAND MOBILE ANESTHESIA SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENN R. MEKELBURG CRNA (DIRECTOR)
(410) 409-8305
Entity
Organization
Contact information
Practice address
11202 OLD HOPKINS RD, CLARKSVILLE, MD 21029-1844
(410) 409-8305
Mailing address
11202 OLD HOPKINS RD, CLARKSVILLE, MD 21029-1844
(410) 409-8305
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R059251
MD
Other
Enumeration date
05/29/2006
Last updated
03/07/2011
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