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NPI Code Detail

MEDICARE: MARK ADAM STOEHR L.AC.

MEDICARE:   MARK ADAM STOEHR  L.AC.
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
1171100000XAcupuncturistU01792MD

General Provider Information

NPI Number : 1518281385
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK ADAM STOEHR L.AC.
Provider Business Mailing Address
First Line : 13138 MUSKRATTOWN RD
Second Line :
City : BISHOPVILLE
State : MD
Zip : 21813-1160
Country : US
Telephone Number : 410-707-1540
Fax Number :
Provider Business Practice Location Address
First Line : 14203 COASTAL HWY STE 1
Second Line :
City : OCEAN CITY
State : MD
Zip : 21842-7414
Country : US
Telephone Number : 410-707-1540
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2010
Last Update Date : 12/03/2011

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Directions to “ MARK ADAM STOEHR L.AC.” Practice Location

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