Individual
DR. MICHELLE M GERMAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6569 N CHARLES ST, STE 307, BALTIMORE, MD 21204-6831
(443) 849-2767
Mailing address
PO BOX 418953, BOSTON, MA 02241-8953
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
D56451
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113103600
—
MD
01
—
KJ22/608229-01
CAREFIRST MD GBMC
MD
01
—
KJ43GY/60822901
CAREFIRST MARYLAND
MD
01
—
S123-0045
CAREFIRST REGIONAL-GBMC
MD
01
—
S140/0006
CAREFIRST REGIONAL
MD
Enumeration date
07/27/2006
Last updated
12/28/2011
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