# MIKNOWSKI MEDICAL PRACTICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851811129
- **Authorized official:** DR. EUGENE MIKNOWSKI MD (PHYSICIAN)
- **Authorized official phone:** (301) 758-8911

## Contact information

- **Practice address:** 5454 WISCONSIN AVE STE 1300, CHEVY CHASE, MD 20815-6908
- **Practice address phone:** (301) 758-8911
- **Mailing address:** 5454 WISCONSIN AVE STE 1300, CHEVY CHASE, MD 20815-6908
- **Mailing address phone:** (301) 758-8911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/27/2017
- **Last updated:** 06/27/2017