Basic Information
| Provider Information | |||||||||
| NPI: | 1033368337 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | EYER | ||||||||
| FirstName: | MICHAEL | ||||||||
| MiddleName: | GALE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 900 | ||||||||
| Address2: | |||||||||
| City: | WESTMINSTER | ||||||||
| State: | MD | ||||||||
| PostalCode: | 211580900 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4108716502 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 4175 HANOVER PIKE | ||||||||
| Address2: | |||||||||
| City: | MANCHESTER | ||||||||
| State: | MD | ||||||||
| PostalCode: | 211021454 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4102392662 | ||||||||
| FaxNumber: | 4103748786 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/11/2008 | ||||||||
| LastUpdateDate: | 10/01/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | H43987 | MD | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.