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Individual

DR. MALCOLM JAWANN WINKLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 502-5845
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-2704

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D97011
MD
208100000X
Physical Medicine & Rehabilitation Physician
Primary
D97011
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
D97011
STATE LIC
MD
Enumeration date
04/03/2018
Last updated
09/14/2024
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