Individual
MR. RICHARD G MUCKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
VA MARYLAND HEALTHCARE SYSTEM, 10 NORTH GREENE STREET, BALTIMORE, MD 21201-1524
(800) 463-6295
Mailing address
6132 HUCKLEBERRY WAY, NEW MARKET, MD 21774-6245
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
R618414
MD
Other
Enumeration date
06/15/2007
Last updated
07/08/2007
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