Individual
MICHAEL WYATT PODIELSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1800 ORLEANS STREET, BALTIMORE, MD 21264-0002
(410) 502-2037
(410) 955-0737
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C08659
MD
Other
Enumeration date
06/11/2022
Last updated
11/20/2025
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