Individual
DR. WALTER JOHN GIBLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15225 SHADY GROVE RD, SUITE 303, ROCKVILLE, MD 20850-3234
(301) 216-2980
(301) 216-2982
Mailing address
15225 SHADY GROVE RD, SUITE 303, ROCKVILLE, MD 20850-3234
(301) 216-2980
(301) 216-2982
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D0042867
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
756841000
—
MD
Enumeration date
11/01/2006
Last updated
12/18/2019
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