Individual
MICHAEL JAMES POLYDEFKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-9441
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 955-5000
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
D53022
MD
291U00000X
Clinical Medical Laboratory
D0053022
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235588400
—
MD
05
—
965102100
—
MD
05
—
D0053022
—
MD
Enumeration date
06/13/2006
Last updated
01/16/2026
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