Individual
DR. STEPHEN THEODORE MICHAELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25500 POINT LOOKOUT RD, LEONARDTOWN, MD 20650-2015
(301) 475-6082
(301) 475-6475
Mailing address
25500 POINT LOOKOUT RD, LEONARDTOWN, MD 20650-2015
(301) 475-6082
(301) 475-6475
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0042845
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182301900
—
MD
Enumeration date
11/30/2006
Last updated
11/26/2019
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