Individual
DR. MICHAEL L ZOLLICOFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2605 BANISTER RD, BALTIMORE, MD 21215-6505
(410) 542-1725
(410) 542-7468
Mailing address
2605 BANISTER RD, BALTIMORE, MD 21215-6505
(410) 542-1725
(410) 542-7468
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
D0036634
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211691000
—
MD
Enumeration date
01/08/2007
Last updated
06/26/2024
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