Individual
DR. BRIAN CHARLES DE MUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 W HIGH ST, SUITE 209, ELKTON, MD 21921-5529
(410) 620-6300
(410) 620-6377
Mailing address
111 W HIGH ST, SUITE 209, ELKTON, MD 21921-5529
(410) 620-6300
(410) 620-6377
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D50790
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
522110201
—
MD
Enumeration date
11/03/2006
Last updated
07/08/2007
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