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Individual

DR. DAVID RAYMOND MAISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
501 W 7TH ST, FREDERICK, MD 21701-4586
(240) 215-6310
Mailing address
400 W 7TH ST, FREDERICK, MD 21701-4506
(240) 215-6310

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D96085
MD
207X00000X
Orthopaedic Surgery Physician
MD072798L
PA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
MD072798L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001898363
PA
05
0018986360003
PA
05
332282300
MD
Enumeration date
03/31/2006
Last updated
12/30/2022
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