Individual
MICHAEL GIBBONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11312 WYCOMBE PARK LN, GLENN DALE, MD 20769-2029
(240) 350-4490
Mailing address
8843 GREENBELT RD # 103, GREENBELT, MD 20770-2451
(240) 350-4490
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
D0106199
MD
Other
Enumeration date
03/10/2026
Last updated
03/10/2026
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