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Individual

ROBERT WALLACE KRELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8901 WISCONSIN AVE, BETHESDA, MD 20889-4504
(301) 295-4000
Mailing address
8901 WISCONSIN AVE, BETHESDA, MD 20889-4504
(301) 295-4000

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
208600000X
Surgery Physician
4301094156
MI
2086X0206X
Surgical Oncology Physician
Primary
4301094156
MI

Other

Enumeration date
06/25/2009
Last updated
06/10/2024
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