Individual
MICHAEL G BEARDSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
511 JERMOR LN, SUITE 105, WESTMINSTER, MD 21157-6151
(410) 871-1000
Mailing address
511 JERMOR LN, SUITE 105, WESTMINSTER, MD 21157-6151
(410) 871-1000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0054920
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
911081000
—
MD
Enumeration date
08/31/2006
Last updated
08/14/2014
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