Individual
DR. HENRY JOSEPH MICHTALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2024 E MONUMENT ST, 2-600, BALTIMORE, MD 21287-0007
(410) 614-1135
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0067145
MD
207R00000X
Internal Medicine Physician
ME98826
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018634100
—
MD
Enumeration date
05/29/2007
Last updated
08/13/2008
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