Individual
COLLIN MICHAEL PAPENFUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NREMT
Contact information
Practice address
5200 SOUTHWESTERN BLVD, BALTIMORE, MD 21227-2820
(410) 887-1477
Mailing address
11834 CHASE WELLESLEY DR APT 533, HENRICO, VA 23233-7756
(804) 878-8079
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
1851966
MD
146N00000X
Basic Emergency Medical Technician
B103017909
VA
Other
Enumeration date
06/09/2019
Last updated
06/09/2019
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