Individual
DR. MICHAEL STIVELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9733 HEALTHWAY DRIVE, ATLANTIC GENERAL HOSPITAL, BERLIN, MD 21811
(410) 641-9774
(410) 641-9622
Mailing address
10026 OLD OCEAN CITY BLVD, BUILDING ONE, BERLIN, MD 21811-1288
(410) 641-9774
(410) 641-9622
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0043086
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050050267
RAILROAD MEDICARE
MD
05
—
182151200
—
MD
Enumeration date
11/10/2005
Last updated
07/10/2010
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