Individual
MICHAEL W DATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10301 GEORGIA AVE, SUITE 106, SILVER SPRING, MD 20902-5020
(301) 681-6000
(301) 681-3153
Mailing address
10301 GEORGIA AVE, SUITE 106, SILVER SPRING, MD 20902-5020
(301) 681-6000
(301) 681-3153
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0012540
MD
Other
Enumeration date
12/27/2005
Last updated
01/21/2009
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