Individual
MICHAEL GORDON MILLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-2280
Mailing address
PO BOX 64362, BALTIMORE, MD 21264-4362
(301) 631-8117
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D61995
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405529200
—
MD
Enumeration date
05/12/2006
Last updated
08/10/2011
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