Individual
PROF. THOMAS K HUISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7704 MATAPEAKE BUSINESS DR, SUITE 310, BRANDYWINE, MD 20613-3023
(301) 868-0202
(301) 868-2331
Mailing address
25 CROSSROADS DR, SUITE 306, OWINGS MILLS, MD 21117-5421
(443) 738-2872
(443) 738-2713
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
D0051808
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006300200
—
MD
Enumeration date
04/28/2006
Last updated
09/26/2016
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