LUMINIS HEALTH MEDICAL GROUP, LLC

GAMBRILLS, MD
NPI1982671103
Doing Business AsWAUGH CHAPEL FAMILY MEDICINE
Entity TypeOrganization
Authorized ContactPETER ODENWALD
VP
443-481-6415
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2006-03-07
Last Update Date2021-05-24
Business Address
LUMINIS HEALTH MEDICAL GROUP, LLC
2401 BRANDERMILL BLVD SUITE 250
GAMBRILLS, MD 21054-1690
Phone number: 410-721-1507
Mailing Address
LUMINIS HEALTH MEDICAL GROUP, LLC
PO BOX 12622
BELFAST, ME 04915-4017
Phone number: 443-481-6576