Organization
INNOVATIVE MWLM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN MORROW (CEO)
(443) 512-8337
Entity
Organization
Contact information
Practice address
9526 PHILADELPHIA RD, ROSEDALE, MD 21237-4106
(443) 512-8337
(443) 327-5282
Mailing address
100 WALTER WARD BLVD STE 200, ABINGDON, MD 21009-1285
(443) 512-8337
(443) 327-5282
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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