Individual
MICHAEL C MUNESES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4924 CAMPBELL BLVD, SUITE 125, BALTIMORE, MD 21236-5908
(443) 461-1997
(443) 461-1998
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0002594
MD
Other
Enumeration date
10/04/2006
Last updated
02/24/2022
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