Individual
MISS ELIZABETH HARLAN MICHELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5051 GREENSPRING AVE, BALTIMORE, MD 21209-4354
(410) 601-9515
(410) 601-8905
Mailing address
855 N WOLFE ST, RANGOS BUILDING, ROOM 248, BALTIMORE, MD 21205-1503
(410) 614-1196
(410) 502-5459
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
D81271
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/06/2011
Last updated
08/01/2018
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