Organization
SHOREWELLNESS AND MED SPA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM EDWARD GUNN MD (OWNER)
(410) 973-1030
Entity
Organization
Contact information
Practice address
11200 RACETRACK RD STE A104, BERLIN, MD 21811-3809
(410) 973-1030
(410) 973-1029
Mailing address
11200 RACETRACK RD STE A104, BERLIN, MD 21811-3809
(410) 973-1030
(410) 973-1029
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/15/2020
Last updated
04/15/2020
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