Organization
REGEN MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A DORN JR. DC (OWNER)
(443) 552-5552
Entity
Organization
Contact information
Practice address
3916 HICKORY AVE, BALTIMORE, MD 21211-1834
(443) 552-5552
(410) 662-9884
Mailing address
3916 HICKORY AVE, BALTIMORE, MD 21211-1834
(443) 552-5552
(410) 662-9884
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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