Individual
MR. MICHAEL EUGENE WILMORE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1330 NEW HAMPSHIRE AVE NW STE 121, WASHINGTON, DC 20036-6313
(202) 463-0220
(202) 463-0222
Mailing address
1330 NEW HAMPSHIRE AVE NW STE 121, WASHINGTON, DC 20036-6313
(202) 463-0220
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
A10406
LA
363A00000X
Physician Assistant
Primary
PA030502
DC
Other
Enumeration date
12/12/2006
Last updated
01/24/2023
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