Individual
MR. MICHAEL THOMAS WEEKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1419 KNECHT AVE, BALTIMORE, MD 21227-1415
(410) 247-9595
Mailing address
1309 REDBRIDGE DR, SEVERN, MD 21144-2401
(410) 271-1535
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0004023
MD
Other
Enumeration date
09/28/2009
Last updated
12/19/2011
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