Individual
MARY L UDSETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1380 PROGRESS WAY, SUITE 114, ELDERSBURG, MD 21784-6464
(410) 795-2233
(410) 795-3538
Mailing address
1380 PROGRESS WAY, SUITE 114, ELDERSBURG, MD 21784-6464
(410) 795-2233
(410) 795-3538
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0005506
MD
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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