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Individual

DR. MICHELE R DEMUSIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D50893
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
786300400
MD
01
KJ15GB/54760101
CAREFIRST MARYLAND GBMC
MD
01
S1380002
CAREFIRST REGIONAL GBMC
MD
Enumeration date
06/08/2006
Last updated
11/17/2011
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