Individual
TAMISCHER B. NETTLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10210 REISTERSTOWN RD, OWINGS MILLS, MD 21117-3606
(410) 902-6776
Mailing address
PO BOX 759047, BALTIMORE, MD 21275-9047
(804) 822-4355
(804) 217-7991
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0068868
MD
Other
Enumeration date
02/15/2007
Last updated
06/25/2021
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