Individual
DR. MICHAEL JOHN SUPERIOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
5158 BLACK HAWK RD, ABERDEEN PROVING GROUND, MD 21010-5403
(410) 436-5127
Mailing address
5158 BLACK HAWK RD, ABERDEEN PROVING GROUND, MD 21010-5403
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
25MA09423100
NJ
2083P0901X
Public Health & General Preventive Medicine Physician
62171
GA
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
C1-0008620
DE
Other
Enumeration date
10/05/2006
Last updated
08/18/2017
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