Provider Demographics
NPI:1033368337
Name:EYER, MICHAEL GALE (DO)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:GALE
Last Name:EYER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 45962
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21297-5962
Mailing Address - Country:US
Mailing Address - Phone:410-469-4178
Mailing Address - Fax:410-469-4160
Practice Address - Street 1:4231 N WOODS TRL STE 100
Practice Address - Street 2:
Practice Address - City:HAMPSTEAD
Practice Address - State:MD
Practice Address - Zip Code:21074-3204
Practice Address - Country:US
Practice Address - Phone:410-374-0675
Practice Address - Fax:410-871-7967
Is Sole Proprietor?:No
Enumeration Date:2008-09-11
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH43987207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD147632YBDBMedicare PIN
MDD98446Medicare UPIN