Individual
MICHAEL STEPHEN LATSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 S BRIDGE STREET PLAZA, ELKTON, MD 21921-4911
(410) 392-0800
(410) 392-0815
Mailing address
1812 MARSH RD, STORE 505, WILMINGTON, DE 19810-4581
(302) 793-0432
(302) 793-0400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22742
MD
225100000X
Physical Therapist
PT012062L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LA1648260
BCBS
PA
Enumeration date
09/23/2005
Last updated
02/25/2009
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