Individual
DR. MITCHELL A. GUTSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7602 BELAIR RD, BALTIMORE, MD 21236-4088
(410) 663-8100
Mailing address
7602 BELAIR RD, BALTIMORE, MD 21236-4088
(410) 663-8100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0069789
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032666600
—
MD
01
—
KL 28 182297Y4R
MEDICARE
MD
01
—
S190 0102
CAREFIRST BLUE CHOICE
—
Enumeration date
06/10/2007
Last updated
12/17/2013
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