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Organization

LUMINIS HEALTH MEDICAL GROUP, LLC

Active
Other names
AAMG River Family Physicians
Organization subpart
No

Provider details

NPI number
Authorized official
PETER ODENWALD (VICE PRESIDENT)
(443) 481-6415
Entity
Organization

Contact information

Practice address
1110 S TALBOT ST STE 6, ST MICHAELS, MD 21663-2606
(410) 820-7270
Mailing address
PO BOX 12622, BELFAST, ME 04915-4017

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
05/15/2019
Last updated
05/24/2021
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