Organization · Type 2 NPI
Innovative MWLM LLC
General Practice Physician · Damascus, MD
NPI number
1083580393
Active
Practice location
9809 Main St Ste 103
Damascus, MD 20872-2090
Fax (443) 327-5282
Mailing address
9526 Philadelphia Rd
Rosedale, MD 21237-4106
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
2 other providers at this address
About NPI 1083580393
Innovative MWLM LLC's National Provider Identifier is 1083580393, issued on Oct 14, 2025. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Damascus, MD. The record was last updated on Oct 14, 2025.