Individual
DR. MITCHEL ALLEN KANTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5092 DORSEY HALL DR, SUITE 102, ELLICOTT CITY, MD 21042-7711
(410) 715-9205
Mailing address
5092 DORSEY HALL DR, SUITE 102, ELLICOTT CITY, MD 21042-7711
(410) 715-9205
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
D0038605
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1378132
CIGNA
MD
01
—
240001280
MEDICARE RR
MD
01
—
312382
UNITED HEALTH CARE
MD
01
—
4140453
AETNA
MD
01
—
520843 05
BLUELINE RENDERING
MD
01
—
5348 0001
FEDERAL BC PROVIDER
MD
01
—
C531MA
MARYLAND BC/BS
MD
Enumeration date
09/06/2005
Last updated
11/29/2010
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