Individual
DR. MARK WITHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1867A BULLENE DRIVE, FREDERICK, MD 21702-8232
(301) 620-1711
Mailing address
1867A BULLENE DRIVE, FREDERICK, MD 21702-8232
(301) 620-1711
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33347-020
WI
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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