Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | D56451 | MD |
NPI | 1205850963 |
---|---|
Provider Name | Dr. Michelle M Germain |
First Address | Boston, MA 02241-8953 |
Second Address | Baltimore, MD 21204-6831 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 28/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
113103600 | (05) | MD |
F83903 | (02) | |
KJ22/608229-01 | CAREFIRST MD GBMC (01) | MD |
KJ43GY/60822901 | CAREFIRST MARYLAND (01) | MD |
S123-0045 | CAREFIRST REGIONAL-GBMC (01) | MD |
S140/0006 | CAREFIRST REGIONAL (01) | MD |