Individual
MR. NATHANIEL B MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3311 TOLEDO TER, SUITE #A-1, HYATTSVILLE, MD 20782-4135
(301) 853-0093
(301) 853-0096
Mailing address
3311 TOLEDO TER, SUITE #A-1, HYATTSVILLE, MD 20782-4135
(301) 853-0093
(301) 853-0096
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19341
MD
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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