| Luminis Health Medical Group, Llc | |
|
2401 Brandermill Blvd Suite 250 Gambrills MD 21054-1690 | |
| (410) 721-1507 | |
| (410) 721-1510 |
| Full Name | Luminis Health Medical Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2401 Brandermill Blvd, Gambrills, Maryland |
| Authorized Official Name and Position | Peter Odenwald (VP) |
| Authorized Official Contact | 4434816415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luminis Health Medical Group, Llc Po Box 12622 Belfast ME 04915-4017 Ph: (443) 481-6576 | Luminis Health Medical Group, Llc 2401 Brandermill Blvd Suite 250 Gambrills MD 21054-1690 Ph: (410) 721-1507 |
| NPI Number | 1982671103 |
|---|---|
| Provider Enumeration Date | 03/07/2006 |
| Last Update Date | 05/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982671103 | NPI | - | NPPES |
| 407175106 | Medicaid | MD | |
| K644 | Other | BCBS | |
| 956BWA | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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