Dr. Michael J. Ichniowski --
M.D. | Pediatric Adolescent Medicine | Male
Dr. Michael J. Ichniowski --, M.D. is a Baltimore, Maryland based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Michael J. Ichniowski -- is
8600 Lasalle Rd, Potomac Building Suite 105, Baltimore, Maryland - 21286-2001. He can be contacted on phone at
410-823-5232 and fax number 410-296-0257.
Dr. Michael J. Ichniowski -- is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Michael J. Ichniowski -- is
1902873169 which was assigned by NPPES on 07 Mar, 2006 and it was last updated on 07 Mar, 2023.
Dr. Michael J. Ichniowski -- license number is
D0023994 for Pediatrics, Adolescent Medicine (2080A0000X) in Maryland.
Dr. Michael J. Ichniowski -- specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Michael J. Ichniowski -- basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Adolescent Medicine |
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| Provider Name : | Dr. Michael J. Ichniowski -- |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Michael J. Ichniowski -- address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 8600 Lasalle Rd, Potomac Building Suite 105
Baltimore, MD, 21286-2001
United States |
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| Phone Number : | 410-823-5232 |
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| Fax Number : | 410-296-0257 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1902873169 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 07 Mar, 2006 |
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| Last Updated On : | 07 Mar, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Michael J. Ichniowski -- are as mentioned. Primary taxonomy code for Dr. Michael J. Ichniowski --, M.D. is
2080A0000X (Pediatrics, Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics, Adolescent Medicine | Yes | D0023994 | MD |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Michael J. Ichniowski -- such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| B70737 | MEDICARE UPIN | MD | |
| M13245 | Other (non-Medicare) | MD | CDS |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 8600 Lasalle Rd, Potomac Building Suite 105
Baltimore, MD, 21286-2001
United States |
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| Phone Number : | 410-823-5232 |
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| Fax Number : | 410-296-0257 |
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Business Location:
Patients can refer following map for directions to
Dr. Michael J. Ichniowski -- practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.