Individual provider · Type 1 NPI

Michelle D. Detwiler, PA-C

Medical Physician Assistant · Baltimore, MD

NPI number 1396215463 Active

Practice location

2401 W Belvedere Ave
Baltimore, MD 21215-5216

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XC06979 (MD)

Medical Physician Assistant: Definition to come...

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About NPI 1396215463

Michelle D. Detwiler, PA-C's National Provider Identifier is 1396215463, issued on Nov 30, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Baltimore, MD. The record was last updated on May 2, 2025.