Individual
DR. WERONIKA ANNA MICULA-GONDEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5755 CEDAR LN, COLUMBIA, MD 21044-2912
(410) 740-7910
(410) 740-7517
Mailing address
6501 N CHARLES ST, BALTIMORE, MD 21204-6819
(410) 938-3000
(410) 938-5131
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
D76792
MD
2084P0015X
Psychosomatic Medicine Physician
MD039527
DC
2084P0800X
Psychiatry Physician
Primary
D76792
MD
2084P0800X
Psychiatry Physician
MD039527
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
654016300
—
MD
Enumeration date
07/24/2007
Last updated
08/10/2020
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