Individual
DR. MICHAEL PAUL VIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3449 WILKENS AVE STE 305, BALTIMORE, MD 21229
(410) 464-4125
(410) 644-6232
Mailing address
3449 WILKENS AVE STE 305, BALTIMORE, MD 21229-5218
(410) 464-4125
(410) 644-6232
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D0041539
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
774011500
—
MD
Enumeration date
03/14/2007
Last updated
08/06/2018
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