MEDICARE: DR. MICHAEL CHARLES O'LAUGHLIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	2026027957	MO
2	390200000X	Student in an Organized Health Care Education/Training Program
3	208600000X	Surgery Physician	41007	SC
4	208600000X	Surgery Physician	D0094810	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003344110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL CHARLES O'LAUGHLIN MD

Provider Business Mailing Address
First Line	:	23 CROSSROADS DR STE 410
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-5491
Country	:	US
Telephone Number	:	410-581-0700
Fax Number	:	410-469-5690

Provider Business Practice Location Address
First Line	:	23 CROSSROADS DR STE 410
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-5491
Country	:	US
Telephone Number	:	410-581-0700
Fax Number	:	410-469-5690

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2017
Last Update Date	:	06/22/2026

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Directions to “ DR. MICHAEL CHARLES O'LAUGHLIN MD” Practice Location

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