Individual provider · Type 1 NPI

Michael J. Ichniowski, MD

Pediatric Adolescent Medicine Physician · Baltimore, MD

NPI number 1902873169 Active

Practice location

8600 Lasalle Rd, Potomac Building Suite 105
Baltimore, MD 21286-2001

Fax (410) 296-0257

Specialties and licenses

TaxonomyCodeLicense
Pediatric Adolescent Medicine Physician Primary 2080A0000XD0023994 (MD)

Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

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About NPI 1902873169

Michael J. Ichniowski, MD's National Provider Identifier is 1902873169, issued on Mar 7, 2006. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Baltimore, MD. The record was last updated on Jul 13, 2026.