Individual
STEPHEN J PLANTHOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3407 WILKENS AVE, SUITE 300, BALTIMORE, MD 21229-5072
(410) 644-5111
(410) 644-2715
Mailing address
3407 WILKENS AVE, SUITE 300, BALTIMORE, MD 21229-5072
(410) 644-5111
(410) 644-2715
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D0023580
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060027012
MEDICARE RAILROAD
—
Enumeration date
09/06/2005
Last updated
04/27/2018
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