| Innovative Mwlm Llc | |
|
9526 Philadelphia Rd Baltimore MD 21237-4106 | |
| (443) 512-8337 | |
| Not Available |
| Full Name | Innovative Mwlm Llc |
|---|---|
| Speciality | General Practice |
| Location | 9526 Philadelphia Rd, Baltimore, Maryland |
| Authorized Official Name and Position | Bryan Morrow (CEO) |
| Authorized Official Contact | 4435128337 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Mwlm Llc 9526 Philadelphia Rd Baltimore MD 21237-4106 Ph: (443) 512-8337 | Innovative Mwlm Llc 9526 Philadelphia Rd Baltimore MD 21237-4106 Ph: (443) 512-8337 |
| NPI Number | 1306607569 |
|---|---|
| Provider Enumeration Date | 01/16/2024 |
| Last Update Date | 01/16/2024 |
| Medicare PECOS PAC ID | 1052752508 |
|---|---|
| Medicare Enrollment ID | O20240515000402 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306607569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Esteban Schabelman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962547786 PECOS PAC ID: 1254480676 Enrollment ID: I20101214000305 |
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