Organization
MICHAEL R. WARNER MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL R WARNER M.D. (OWNER)
(301) 698-2424
Entity
Organization
Contact information
Practice address
63 THOMAS JOHNSON DR, SUITE B, FREDERICK, MD 21702-4384
(301) 698-2424
(301) 698-1018
Mailing address
63 THOMAS JOHNSON DR, SUITE B, FREDERICK, MD 21702-4384
(301) 698-2424
(301) 698-1018
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
207NS0135X
Procedural Dermatology Physician
—
—
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2563948
CIGNA
MD
01
—
293529
MAMSI
MD
01
—
DC5806
MEDICARE RAILROAD
MD
01
—
F046
BLUE CROSS DC
MD
01
—
LW63MI
BLUE CROSS MD
MD
Enumeration date
10/30/2007
Last updated
10/30/2007
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