Wedlake, Tiffany M

Wedlake, Tiffany M is an individual health care provider with primary practice located at 2400 Kirk Ave , Baltimore MD 21218-5507. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine is her primary health care specialty. Wedlake, Tiffany M can be contacted via phone (410) 383-8300.

Contact Information

Primary practice address
2400 Kirk Ave Baltimore MD 21218-5507
Phone: (410) 383-8300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 2007-01439 North Carolina
Allopathic & Osteopathic Physicians / General Practice 208D00000X 056784 Georgia
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X D0076061 Maryland

Profile Details

NPI number 1609864628
LBN Legal business name Wedlake, Tiffany M
Credentials M.D., MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Nov 19th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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