Individual
HEATHER M GAUSEPOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 N WOLFE ST, MARBURG 403, BALTIMORE, MD 21287-2101
(410) 955-4494
Mailing address
600 N WOLFE ST, MARBURG 403, BALTIMORE, MD 21287-2101
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R203586
MD
Other
Enumeration date
11/19/2013
Last updated
11/19/2013
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