Individual
MELISSA LEIMKUEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(443) 997-1811
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2005013756
MO
2085R0202X
Diagnostic Radiology Physician
Primary
D63015
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204517700
—
MO
05
—
407875600
—
MD
Enumeration date
06/21/2006
Last updated
01/16/2024
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