Individual
MR. TIMOTHY JOSEPH MEYENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.R.N.P.
Contact information
Practice address
22 S GREENE ST, CARDIAC SURGERY ICU, BALTIMORE, MD 21201-1544
(410) 328-5382
Mailing address
9368 READER LN, COLUMBIA, MD 21045-3922
(410) 997-0758
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
R176700
MD
363LA2100X
Acute Care Nurse Practitioner
Primary
R176700
MD
Other
Enumeration date
02/23/2013
Last updated
02/07/2014
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