Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN ROBERT TICEHURST, M.D.
ActiveDR. JOHN ROBERT TICEHURST, M.D. is a Clinical Pathology/Laboratory Medicine healthcare provider located in GLEN BURNIE, Maryland. NPI 1962558437 is currently active in the NPPES registry. Verify at CMS.
Clinical Pathology/Laboratory Medicine · GLEN BURNIE, MD
Registration Details
- NPI Number
- 1962558437
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 26, 2007 (19.581932195819 yrs)
- Last Updated
- Jul 21, 2022
- License
-
D0050680 (MD)
Practice Information
- Address
-
7385 BALTIMORE ANNAPOLIS BLVD STE LGLEN BURNIE, MD, 210613278Browse MD providers · Browse ZIP 21061
- Phone
- 4109996421
- Primary Specialty
-
Clinical Pathology/Laboratory Medicine
207ZP0105X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.