Individual
MARY L MICHELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
49 OLD SOLOMONS ISLAND RD, SUITE 104, ANNAPOLIS, MD 21401-3854
(410) 897-8485
(410) 897-8480
Mailing address
49 OLD SOLOMONS ISLAND RD, SUITE 104, ANNAPOLIS, MD 21401-3854
(410) 897-8485
(410) 897-8480
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0031082
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122961300
—
MD
Enumeration date
07/14/2006
Last updated
07/01/2011
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