Basic Information
| Provider Information | |||||||||
| NPI: | 1083780365 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GUTH | ||||||||
| FirstName: | MICHAEL | ||||||||
| MiddleName: | W | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 900 CATON AVENUE, ST. AGNES HOSPITAL | ||||||||
| Address2: | DEPT. OF ANESTHESIOLOGY | ||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212295201 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4103686000 | ||||||||
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| Practice Location | |||||||||
| Address1: | 900 CATON AVENUE, ST. AGNES HOSPITAL | ||||||||
| Address2: | DEPT. OF ANESTHESIOLOGY | ||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212295201 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4103686000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/28/2006 | ||||||||
| LastUpdateDate: | 07/08/2010 | ||||||||
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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 | 207L00000X | D33328 | MD | Y | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | 0101058555 | VA | N | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.