Healthcare Provider Details

I. General information

NPI: 1821130246
Provider Name (Legal Business Name): RA SCHLEICHERT MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1104 KENILWORTH DR STE 201
TOWSON MD
21204-2101
US

IV. Provider business mailing address

1104 KENILWORTH DR STE 201
TOWSON MD
21204
US

V. Phone/Fax

Practice location:
  • Phone: 443-279-0340
  • Fax:
Mailing address:
  • Phone: 443-279-0340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: BRANDAN LEIGH TURNER
Title or Position: OFFICE MANAGER
Credential:
Phone: 443-279-0340