Individual
STEPHEN FUTTERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 S GREENE ST, DEPT OF RADIOLOGY, BALTIMORE, MD 21201-1544
(410) 328-3477
Mailing address
22 S GREENE ST, DEPT OF RADIOLOGY, BALTIMORE, MD 21201-1544
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
D50565
MD
2085R0202X
Diagnostic Radiology Physician
036103744
IL
2085R0202X
Diagnostic Radiology Physician
Primary
D50565
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037252711
—
DC
05
—
159000600
—
MD
Enumeration date
07/03/2006
Last updated
02/07/2025
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