SearchMaryland183500000X

Michael Mitry

NPI 1750600904 · on the registry since 2010 · sole proprietor

Practice

Address
8634 Liberty Rd
Randallstown, MD 21133
Phone
(410) 655-2159
Fax
(410) 655-5148
Organisation at this address
Walgreen Co
Rite Aid Of Maryland Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-05-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland