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Individual

DR. MICHAEL LOUIS DEVAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
NATIONAL NAVAL MEDICAL CENTER, 8901 WISCONSIN AVE, BETHESDA, MD 20889-0001
(301) 295-4611
Mailing address
23525 GARDENSIDE PL, CLARKSBURG, MD 20871-4375
(301) 661-3736

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
18199
MS

Other

Enumeration date
10/03/2005
Last updated
07/08/2007
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