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Individual

THERESA MARIE MICHELE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-3467
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
(410) 933-4397

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
D47979
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
139808300
MD
Enumeration date
05/11/2006
Last updated
08/26/2013
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