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Stephanie Detterline, MD

Internal Medicine in Baltimore, MD. Individual provider (NPI-1).

NPI number1104890367
StatusActive
Last updated in NPPESNov 21, 2011

Details

NPI
1104890367
Entity type
Individual (NPI-1)
Name
Stephanie Detterline
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Feb 15, 2006
Last updated
Nov 21, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineD67439MDYes
207R00000X Internal Medicine36113740IL
208M00000X Hospitalist036113740IL
207R00000X Internal Medicine35089436OH
208M00000X Hospitalist35089436OH

Practice location

201 E University Pkwy
33rd St. Professional Bldg, Ste 405
Baltimore, MD 21218-2829

Phone 410-554-2284 · Fax 410-554-2184

Mailing address

201 E University Pkwy
33rd St. Professional Bldg, Ste 405
Baltimore, MD 21218-2829

Phone 410-554-2284 · Fax 410-554-2184

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