Individual
BRANDON S SHIFLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1590
(410) 328-2882
(410) 328-2977
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-8040
(443) 462-3514
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
H93977
MD
208M00000X
Hospitalist Physician
Primary
H93977
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/11/2019
Last updated
01/09/2023
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