Individual
MR. MICHAEL EWALD DEMBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
900 S CATON AVENUE, BALTIMORE, MD 21229
(410) 368-2000
(410) 368-2009
Mailing address
4117 CLIFFVALE RD, BALTIMORE, MD 21236-1007
(410) 371-9550
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C00940
MD
363AM0700X
Medical Physician Assistant
C00940
MD
Other
Enumeration date
01/16/2007
Last updated
06/19/2013
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