Organization
LUMINIS HEALTH MEDICAL GROUP, LLC
Active
Other names
AAMC's Women's Center for Pelvic Health
Organization subpart
No
Provider details
NPI number
Authorized official
PETER ODENWALD (REIMBURSEMENT ADMINISTRATORS)
(443) 481-6415
Entity
Organization
Contact information
Practice address
1106 ANNAPOLIS RD STE 220, ODENTON, MD 21113-1740
(443) 481-1199
(443) 481-1495
Mailing address
201 DEFENSE HWY STE 100, ANNAPOLIS, MD 21401-8902
(443) 481-5310
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
07/26/2018
Last updated
05/24/2021
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