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Individual

DR. MICHAEL DE WIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 521-5950
Mailing address
5905 RISING STAR, ELKRIDGE, MD 21075-5341
(443) 820-3148

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D0068783
MD

Other

Enumeration date
08/21/2006
Last updated
06/17/2013
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