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Organization
REVOLUTION MEDICINE HEALTH & FITNESS PLLC
Active
Organization
REVOLUTION MEDICINE HEALTH & FITNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL L GLICKMAN MD (PHYSICIAN)
(202) 596-8891
Entity
Organization
Contact information
Practice address
1050 CONNECTICUT AVE NW STE 500, WASHINGTON, DC 20036-5304
(202) 596-8891
(304) 245-6029
Mailing address
1050 CONNECTICUT AVE NW STE 500, WASHINGTON, DC 20036-5304
(202) 596-8891
(304) 245-6029
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
08/19/2019
Last updated
05/19/2026
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