| Innovative Mwlm Llc | |
|
5525 Eastern Ave Ste 105 Baltimore MD 21224-2796 | |
| (443) 512-8337 | |
| Not Available |
| Full Name | Innovative Mwlm Llc |
|---|---|
| Speciality | General Practice |
| Location | 5525 Eastern Ave Ste 105, Baltimore, Maryland |
| Authorized Official Name and Position | Bryan Morrow (CEO) |
| Authorized Official Contact | 4435128337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Mwlm Llc 9526 Philadelphia Rd Rosedale MD 21237-4106 Ph: (443) 512-8337 | Innovative Mwlm Llc 5525 Eastern Ave Ste 105 Baltimore MD 21224-2796 Ph: (443) 512-8337 |
| NPI Number | 1497503098 |
|---|---|
| Provider Enumeration Date | 05/08/2024 |
| Last Update Date | 05/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497503098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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