Organization
LUMINIS HEALTH MEDICAL GROUP, LLC
Active
Other names
Surgical Specialists at AAMC
Organization subpart
No
Provider details
NPI number
Authorized official
PETER ODENWALD (VICE PRESIDENT)
(443) 481-6415
Entity
Organization
Contact information
Practice address
28438 MARLBORO AVE, EASTON, MD 21601-2732
(410) 822-2440
Mailing address
PO BOX 12622, BELFAST, ME 04915-4017
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
05/20/2019
Last updated
05/24/2021
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