Provider Demographics
NPI:1225767387
Name:WIELAND, MARK DARLINGTON (MD)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:DARLINGTON
Last Name:WIELAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 E UNIVERSITY PKWY
Mailing Address - Street 2:DEPT. OF ORTHOPAEDIC SURGERY
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218
Mailing Address - Country:US
Mailing Address - Phone:410-554-2857
Mailing Address - Fax:410-554-4326
Practice Address - Street 1:201 E UNIVERSITY PKWY
Practice Address - Street 2:DEPT. OF ORTHOPAEDIC SURGERY
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218
Practice Address - Country:US
Practice Address - Phone:410-554-2857
Practice Address - Fax:410-554-4326
Is Sole Proprietor?:No
Enumeration Date:2022-06-06
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program