Provider Demographics
NPI:1871845032
Name:MEREDITH, DAVID BUSCHER (MAC, DAC,DIPLAC, LAC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:BUSCHER
Last Name:MEREDITH
Suffix:
Gender:M
Credentials:MAC, DAC,DIPLAC, LAC
Other - Prefix:MR
Other - First Name:DAVID
Other - Middle Name:MARTIN
Other - Last Name:BUSCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:60 TAVERNGREEN CT
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-5304
Mailing Address - Country:US
Mailing Address - Phone:410-865-9935
Mailing Address - Fax:
Practice Address - Street 1:600 WYNDHURST AVE STE 235
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21210-2435
Practice Address - Country:US
Practice Address - Phone:410-865-9935
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-11
Last Update Date:2023-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU02010171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist