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Individual

MICHAEL ADERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
12701 TRUTHS PROMISE CT, BOWIE, MD 20720-5600
(443) 388-7168
Mailing address
12701 TRUTHS PROMISE CT, BOWIE, MD 20720-5600
(443) 388-7168

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0007470
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000
MD
Enumeration date
03/05/2020
Last updated
03/05/2020
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