Individual
DR. MICHAEL K HISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-5720
(410) 328-5685
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-5720
(410) 328-5685
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D20327
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0212134000
—
WV
05
—
1437105228
—
DE
01
—
351250-01
BLUE CROSS/BLUE SHIELD
MD
05
—
4419750
—
DC
05
—
479871600
—
MD
05
—
5849314
—
VA
Enumeration date
05/25/2006
Last updated
12/19/2023
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