Individual
DR. KJELL J WIBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2435 W BELVEDERE AVE, SUITE 17, BALTIMORE, MD 21215-5224
(410) 601-6207
(410) 601-6006
Mailing address
2401 W BELVEDERE AVE, ATTN: INFECTIOUS DISEASE, BALTIMORE, MD 21215-5216
(410) 601-6207
(410) 601-6006
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
D0071592
MD
207RI0200X
Infectious Disease Physician
MD038943
DC
Other
Enumeration date
02/14/2007
Last updated
04/07/2017
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