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1144950379
MICHAEL WYATT PODIELSKY
BALTIMORE, MD
NPI
1144950379
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD C08659)
Enumeration Date
2022-06-11
Last Update Date
2024-11-01
Business Address
MICHAEL WYATT PODIELSKY PA
1800 ORLEANS STREET
BALTIMORE, MD 21264-0002
Phone number: 410-502-2037
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Mailing Address
MICHAEL WYATT PODIELSKY PA
6201 GREENLEIGH AVE
MIDDLE RIVER, MD 21220-2004
Phone number: 410-933-6423
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