Individual
MICHAEL NOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9901 MEDICAL CENTER DR, ROCKVILLE, MD 20850-3357
(301) 279-6550
Mailing address
PO BOX 17564, BALTIMORE, MD 21297-1564
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0001758
MD
Other
Enumeration date
07/13/2006
Last updated
07/13/2007
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