INNOVATIVE MWLM LLC

General Practice Physician

NPI: 1164221123Organization

Specialties, Licenses & Credentials

General Practice PhysicianPrimary

General Practice

Code: 208D00000X

Contact & Hours

Address: 5525 EASTERN AVE APT 105
BALTIMORE, MD 21224
Phone: (443) 512-8337

Quick Facts

NPI: 1164221123
Entity Type: Organization
Medicare: Not confirmed
Specialties: 1
Locations: 1

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