Individual
DR. JILL B MIDTHUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6535 N CHARLES ST, STE 300, TOWSON, MD 21204-5826
(410) 938-5252
(410) 938-5250
Mailing address
6535 N CHARLES ST, STE 300, TOWSON, MD 21204-5826
(410) 938-5252
(410) 938-5250
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D41319
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157711500
—
MD
Enumeration date
08/29/2006
Last updated
10/07/2010
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