Organization
OB GYN & ENDOSCOPY OF CARROLL COUNTY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL VIETZ M.D. (OFFICER)
(410) 876-7049
Entity
Organization
Contact information
Practice address
1380 PROGRESS WAY STE 107, ELDERSBURG, MD 21784-6498
(410) 876-7049
(410) 795-7054
Mailing address
1380 PROGRESS WAY STE 107, ELDERSBURG, MD 21784-6498
(410) 876-7049
(410) 795-7054
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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