Individual
PAUL ALAN NYQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
600 N WOLFE ST STE 455, BALTIMORE, MD 21287
(410) 955-6121
(410) 614-7903
Mailing address
9910 FRANKLIN SQUARE DR STE 2110, BALTIMORE, MD 21236-4902
(410) 933-6423
(410) 933-1390
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
D55305
MD
2084N0400X
Neurology Physician
Primary
D55305
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406264700
—
MD
Enumeration date
05/25/2006
Last updated
07/30/2018
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