Organization
INNOVATIVE MWLM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN MORROW MSPT (CEO)
(443) 512-8337
Entity
Organization
Contact information
Practice address
9526 PHILADELPHIA RD, BALTIMORE, MD 21237-4106
(443) 512-8337
Mailing address
9526 PHILADELPHIA RD, BALTIMORE, MD 21237-4106
(443) 512-8337
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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