Individual
DR. MICHAEL MARDINEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3105 N RIDGE RD, ELLICOTT CITY, MD 21043-3348
(410) 461-7660
(410) 461-2853
Mailing address
PO BOX 609, ELLICOTT CITY, MD 21041-0609
(410) 461-4500
(410) 461-4525
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
D0043585
MD
Other
Enumeration date
05/13/2006
Last updated
08/01/2017
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