Individual
MICHAEL C OBIEFUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-8040
(443) 462-3514
Mailing address
PO BOX 64442, BALTIMORE, MD 21201-1544
(410) 328-8040
(443) 462-3514
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D56462
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
409218000
—
MD
Enumeration date
06/06/2006
Last updated
01/03/2024
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