Individual
DR. MICHAEL JOSEPH MININSOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8813 WALTHAM WOODS RD, SUITE 104, BALTIMORE, MD 21234-2450
(410) 661-4060
(410) 661-5349
Mailing address
8813 WALTHAM WOODS RD, SUITE 104, BALTIMORE, MD 21234-2450
(410) 661-4060
(410) 661-5349
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D31189
MD
208M00000X
Hospitalist Physician
Primary
D31189
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
378161500
—
MD
Enumeration date
09/16/2005
Last updated
10/21/2019
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