Individual
DR. MICKEL NEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1720 CRAIN HWY S STE 103, GLEN BURNIE, MD 21061-5631
(410) 761-0095
Mailing address
1111 N CHARLES ST, BALTIMORE, MD 21201-5505
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16971
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/28/2019
Last updated
07/08/2020
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