Organization
METROPOLITAN WELLNESS SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROQUELL WYCHE (SOLO PROPRIETOR)
(202) 812-4933
Entity
Organization
Contact information
Practice address
1120 19TH ST NW, SUITE 316, WASHINGTON, DC 20036-3605
(202) 499-6999
Mailing address
1015 I ST NE, WASHINGTON, DC 20002-3747
(202) 499-6999
(202) 331-7013
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
MD33157
DC
207RC0000X
Cardiovascular Disease Physician
Primary
MD33157
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040147900
—
DC
Enumeration date
10/08/2011
Last updated
11/10/2011
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