Ian M Shantz MD

NPI 1083607410 - Family Medicine - 207Q00000X

NPI Details
NPI 1083607410
Gender Male
Enumeration Date 08/31/2005
Last Updated 11/29/2013
Entity Type Individual
Active Over 13 years ago
Practice Location
GAMBRILLS MD, 21054-1690, US
Phone (410) 721-1507
Fax (410) 721-1510
Business Location
PO BOX 12622
BELFAST ME, 04915-4017, US
Phone (443) 481-6576
Fax (443) 481-6515
Taxonomy Code 207Q00000X
License State Maryland
License Number D0036203
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According to our database, Dr. Ian M Shantz MD NPI is 1083607410, taxonomy code is 207Q00000X and license number is D0036203, license state is located at Maryland. Ian M Shantz MD physically located at 2401 Brandermill Blvd, Gambrills MD, 21054-1690. NPI Number Ian M Shantz MD has the Individual type.

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1083607410 NPI number is provided on an as is basis without warranty of any kind. 1083607410 is maintained by the National Plan & Provider Enumeration System. The contents of Ian M Shantz MD are for informational purposes only.