Individual
DR. MARJORIE BERNADETTE GWYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7671 QUARTERFIELD ROAD, SUITE 200, GLEN BURNIE, MD 21061
(410) 766-0111
(410) 582-9155
Mailing address
7671 QUARTERFIELD ROAD, SUITE 200, GLEN BURNIE, MD 21061
(410) 766-0111
(410) 582-9155
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0057741
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
699816000
—
MD
Enumeration date
03/08/2006
Last updated
04/13/2011
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