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Individual

DR. SHIRLEY ANNE VANMILDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1221 MERCANTILE LANE, LARGO, MD 20774
(301) 618-5679
(301) 618-5673
Mailing address
2101 EAST JEFFERSON STREET, KAISER PERMANENTE, PPQA, 6 WEST,, ROCKVILLE, MD 20852
(301) 816-6660
(301) 816-6308

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D64875
MD
207V00000X
Obstetrics & Gynecology Physician
MD036422
DC

Other

Enumeration date
02/07/2007
Last updated
06/25/2021
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