Organization · Type 2 NPI
Innovative MWLM LLC
General Practice Physician · Fort Washington, MD
NPI number
1972351567
Active
Practice location
11701 Livingston Rd Ste 202
Fort Washington, MD 20744-5136
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.
3 other providers at this address
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About NPI 1972351567
Innovative MWLM LLC's National Provider Identifier is 1972351567, issued on May 8, 2024. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Fort Washington, MD. The record was last updated on May 8, 2024.