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Individual

MICHAEL ALAN ANKROM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6701 N CHARLES ST STE 4105, BALTIMORE, MD 21204-6808
(443) 849-3184
(443) 849-3182
Mailing address
PO BOX 418953, BOSTON, MA 02241-8953

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0046360
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10580
JOHNS HOPKINS HEALTH CARE
MD
05
159611000
MD
01
3985180
AETNA HMO
MD
01
4432
BRAVO /ELDERHEALTH
MD
01
489769
NCPPO
MD
01
5128096
CIGNA
MD
01
533474-07
CARE FIRST BLUE CROSS
MD
01
5826487
AETNA PPO
MD
01
O242-0020
CARE FIRST BLUE CROSS
DC
Enumeration date
06/21/2006
Last updated
12/01/2011
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