NPI | 1730492422 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDRE S MICHALAK Medical Doctor 202-832-1532 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: DC md16523) |
Enumeration Date | 2010-07-22 |
Last Update Date | 2010-07-22 |