Individual
MELANIE S UEBELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3001 S HANOVER ST, BALTIMORE, MD 21225-1233
(667) 210-5369
Mailing address
3001 S HANOVER ST, BALTIMORE, MD 21225-1233
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0005102
MD
363A00000X
Physician Assistant
MP00163800
NJ
363AS0400X
Surgical Physician Assistant
25MP00163800
NJ
Other
Enumeration date
10/04/2006
Last updated
12/11/2015
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