Individual
MICHELLE A. MEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1221 MERCANTILE LN, EMERGENCY DEPARTMENT, UPPER MARLBORO, MD 20774-5374
(301) 816-2424
Mailing address
PO BOX 10778, SILVER SPRING, MD 20914-0778
(301) 384-2338
(301) 384-2338
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101053834
VA
207P00000X
Emergency Medicine Physician
56892
CT
207P00000X
Emergency Medicine Physician
Primary
D0036396
MD
207P00000X
Emergency Medicine Physician
MD32976
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024557900
—
DC
01
—
44330020
BLUECROSS BLUESHIELD
DC
Enumeration date
12/20/2005
Last updated
05/31/2021
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