Individual
DR. IREDELL WADDELL IGLEHART III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6301 N CHARLES ST, SUITE 5, BALTIMORE, MD 21212-1047
(410) 372-0300
(410) 372-0304
Mailing address
6301 N CHARLES ST, SUITE 5, BALTIMORE, MD 21212-1047
(410) 372-0300
(410) 372-0304
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D33400
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286881400
—
MD
Enumeration date
10/17/2005
Last updated
05/02/2011
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