Individual
DR. MICHAEL ALAN PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-5000
Mailing address
PO BOX 64382, BALTIMORE, MD 21264-4382
(410) 955-9080
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
D67544
MD
207L00000X
Anesthesiology Physician
P20224
MD
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
D67544
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304038100
—
MD
Enumeration date
02/02/2007
Last updated
02/14/2013
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