Individual
DR. TIFFANY M WEDLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., MPH
Contact information
Practice address
2400 KIRK AVE, BALTIMORE, MD 21218-5507
(410) 383-8300
Mailing address
2400 KIRK AVE, BALTIMORE, MD 21218-5507
(410) 383-8300
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
2007-01439
NC
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
D0076061
MD
208D00000X
General Practice Physician
056784
GA
Other
Enumeration date
10/13/2005
Last updated
11/19/2013
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