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Individual

DR. JEREMY ANDREW MICHALKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6701 N CHARLES ST, KAISER PERMANENTE GREATER BALTIMORE MEDICAL CENTER, TOWSON, MD 21204-6808
(443) 849-2000
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
C7-0002946
DE
207P00000X
Emergency Medicine Physician
Primary
D66035
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
412740400
MD
05
451601000
MD
01
P00418710
RAILROAD
MD
Enumeration date
02/22/2007
Last updated
06/23/2021
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