Individual
MR. WARREN H. MACLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
901 DULANEY VALLEY RD, SUITE 220, TOWSON, MD 21204-2600
(410) 583-1000
(410) 583-1009
Mailing address
901 DULANEY VALLEY RD, SUITE 220, TOWSON, MD 21204-2600
(410) 583-1000
(410) 583-1009
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R051112
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
235741
KAISER BILLING #
MD
01
—
417274-02
BC/BS OF MD BILLING #
MD
01
—
G9270001
BLUE SHIELD FEDERAL
MD
Enumeration date
10/19/2006
Last updated
02/27/2008
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