Matsuura, Michael John

Matsuura, Michael John is an individual health care provider with primary practice located at 22 S Greene St , Baltimore MD 21201-1544. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Matsuura, Michael John can be contacted via phone (410) 328-6704.

Contact Information

Primary practice address
22 S Greene St Baltimore MD 21201-1544
Phone: (410) 328-6704
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD-14431 Hawaii
Allopathic & Osteopathic Physicians / Surgery 208600000X D72797 Maryland

Profile Details

NPI number 1720223175
LBN Legal business name Matsuura, Michael John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2008
Last updated Feb 24th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720223175 NPPES
Maryland MEDICAID 442253800

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