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Organization

MIEN - DOOR KIOUNE, MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TSUI-MEI CHANG M.S. (BILLING STAFF/OFFICE MANAGER)
(410) 669-1290
Entity
Organization

Contact information

Practice address
821 N EUTAW ST, SUITE 206, BALTIMORE, MD 21201-4648
(410) 669-1290
(410) 383-2228
Mailing address
42 SPRINGHILL FARM CT, COCKEYSVILLE, MD 21030-1400
(410) 669-1290

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0031865
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
994650100
MD
Enumeration date
10/09/2007
Last updated
08/26/2008
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