| NPI | 1649330259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL DALE MICHAELS Owner 301-797-8554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1417) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2013-01-09 |