Organization
MARYLAND MOBILE ANESTHESIA SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENN R. MEKELBURG CRNA (DIRECTOR)
(410) 409-8305
Entity
Organization
Contact information
Practice address
11202 OLD HOPKINS RD, CLARKSVILLE, MD 21029-1844
(410) 409-8305
Mailing address
11202 OLD HOPKINS RD, CLARKSVILLE, MD 21029-1844
(410) 409-8305
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R059251
MD
Other
Enumeration date
05/29/2006
Last updated
03/07/2011
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