Individual
DR. TIMM-MICHAEL DICKFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-7877
(410) 328-0248
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-7877
(410) 328-0248
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D61646
MD
207RC0001X
Clinical Cardiac Electrophysiology Physician
D61646
MD
207RI0011X
Interventional Cardiology Physician
D61646
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037161400
—
DC
05
—
405841100
—
MD
01
—
644039-01
BLUE CROSS/BLUE SHIELD
MD
Enumeration date
05/05/2006
Last updated
12/28/2007
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