Individual
MARK EDWARD SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, ROOM N3E09, BALTIMORE, MD 21201-1544
(410) 328-6110
Mailing address
22 S GREENE ST, ROOM N3E09, BALTIMORE, MD 21201-1544
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D0090063
MD
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
D0090063
MD
Other
Enumeration date
04/01/2014
Last updated
10/22/2020
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