Individual
MICHAEL XAVIER REPKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-9441
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D29320
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373471400
—
MD
Enumeration date
06/14/2006
Last updated
09/01/2022
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