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Individual

BROCK A LINDSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1800 ORLEANS ST, BALTIMORE, MD 21287-0010
(410) 955-3137
(410) 502-3977
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
22068
WV
207X00000X
Orthopaedic Surgery Physician
Primary
D97963
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810004871
WV
Enumeration date
03/23/2007
Last updated
09/01/2023
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