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Dr. Michael J. Ichniowski, MD
Pediatric Adolescent Medicine Physician in Baltimore, Maryland
NPI 1902873169

Michael J. Ichniowski is a Pediatric Adolescent Medicine Physician based in Baltimore, MD and is specialized in Adolescent Medicine. Michael J. Ichniowski practices in Baltimore, MD and has the professional credentials of MD. The NPI Number for Michael J. Ichniowski is 1902873169 and holds a License No. D0023994 (Maryland).

The current practice location address for Michael J. Ichniowski is 8600 Lasalle Rd, Baltimore, MD and can be reached out via phone at 410-823-5232 and via fax at 410-296-0257.

Location: 8600 Lasalle Rd, Baltimore, MD, 21286-2001
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Provider Profile Details
NPI Number
1902873169
Provider Name
Michael J. Ichniowski
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
8600 Lasalle Rd, Baltimore, MD, 21286-2001
Phone Number
410-823-5232
Fax Number
410-296-0257
Provider Enumeration Date
03/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
M13245 01 MD CDS
institution
Provider Business Practice Location Address Details
Address
8600 Lasalle Rd
City
State
Zip
21286-2001
Phone Number
410-823-5232
Fax Number
410-296-0257
person
Provider Business Mailing Address Details
Address
8600 Lasalle Rd
City
State
Zip
21286-2001
Phone Number
410-823-5232
Fax Number
410-296-0257
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
License No.
D0023994 (Maryland)
Definition
A pediatrician who 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.
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