| Doctor Name: | MR. MICHAEL OLIVER MAHLER |
| NPI Number: | 1295788123 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CRNP |
| License Number: | R166632 |
| Business Practice Address: | 10085 Red Run Blvd Owings Mills, MD - 211174836 |
| Business Phone Number: | 4103637246 |
| Business Fax Number: | 4103565373 |
| Mailing Address: | 8415 Bellona Lane, Suite 201 BALTIMORE |
| State: | MD |
| Postal Code: | 212042066 |
| Phone Number: | 4108217775 |
| Fax Number: | 4108211320 |
| NPI Enumeration Date: | 05/19/2006 |
| NPI Last Update Date: | 07/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | R166632 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |