Individual
MICHAEL PRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
301 ST. PAUL PLACE, LOWER LEVEL, MARYLAND SPINE CENTER AT MERCY, BALTIMORE, MD 21202
(410) 539-3434
Mailing address
301 ST. PAUL PLACE, MEDICAL STAFF OFFICE, BALTIMORE, MD 21202
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C05198
MD
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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