Organization
PODIATRY GROUP, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN MICHELLE HEIZER (OFFICE MANAGER)
(410) 451-3206
Entity
Organization
Contact information
Practice address
2401 BRANDERMILL BLVD, STE 340, GAMBRILLS, MD 21054-1690
(410) 451-3206
Mailing address
2401 BRANDERMILL BLVD, STE 340, GAMBRILLS, MD 21054-1690
(410) 451-3206
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
03/16/2007
Last updated
02/01/2008
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