Healthcare Provider Details

I. General information

NPI: 1346121290
Provider Name (Legal Business Name): MS. MICHELLE R. STEIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2025
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 METRO DR
BALTIMORE MD
21215-3207
US

IV. Provider business mailing address

5900 METRO DR
BALTIMORE MD
21215-3207
US

V. Phone/Fax

Practice location:
  • Phone: 410-318-6780
  • Fax: 410-318-6738
Mailing address:
  • Phone: 410-318-6780
  • Fax: 410-317-6738

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number02980
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: