Individual
DR. MICHAEL W. PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-6897
(410) 328-2109
Mailing address
306 W REDWOOD ST FL 4, BALTIMORE, MD 21201-1708
(667) 214-1720
(410) 706-6976
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
D0060640
MD
208800000X
Urology Physician
Primary
D60640
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0087
CAREFIRST REGIONAL
MD
01
—
1901109
UNITED HLTHCARE
MD
01
—
2110686
MDIPA
MD
01
—
2339178
UNITED HLTHCARE NATIONAL
MD
01
—
240843
KAISER
MD
05
—
402471100
—
MD
01
—
62097501
BLUE SHIELD
MD
01
—
81800
GEISINGER
MD
Enumeration date
07/26/2006
Last updated
02/26/2020
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