Individual
KARL PETER MALICDEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1209 YORK RD, SUITE 200, LUTHERVILLE, MD 21093-6207
(410) 821-9490
(410) 821-9495
Mailing address
1209 YORK RD, SUITE 200, LUTHERVILLE, MD 21093-6207
(410) 821-9490
(410) 821-9495
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
DA2123
MD
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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