John Odenwald
John Odenwald is a Physician Assistant in Baltimore, Maryland. Qualified in 2024, 2 years ago. Practices with Maryland General Clinical Practice Group, Inc, a 60-clinician group and accepts Medicare assignment.
- Years since qualifying
- 2
- In the registry since
- 2023
Practice location Address checks out
520 W Fayette St Ste 300Baltimore, MD 21201-1756
Phone: (410) 693-5241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1265211825 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 25, 2023 |
| Last updated in NPPES | September 25, 2023 |
| Certification date | September 24, 2023 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Maryland General Clinical Practice Group, Inc. — 60 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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