Individual
DR. MAX LOGAN GRATRIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15225 SHADY GROVE RD, SUITE 303, ROCKVILLE, MD 20850-3254
(443) 351-3376
Mailing address
440 CHESTNUT HILL ST, GAITHERSBURG, MD 20878-2189
(202) 570-1704
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D74403
MD
Other
Enumeration date
06/11/2007
Last updated
03/02/2017
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