Individual
DR. MICHELLE WAKELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1060 W PERIMETER RD, JB ANDREWS, MD 20762-6602
(240) 612-1650
Mailing address
1060 W PERIMETER RD, JB ANDREWS, MD 20762-6602
(240) 612-1650
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
LP03687
RI
Other
Enumeration date
05/20/2016
Last updated
06/23/2023
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