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Michael Groden
Military Health Care Provider in Jb Andrews, Maryland
NPI 1598350522

Michael Groden is a Military Health Care Provider based in Jb Andrews, MD. Michael Groden practices in Jb Andrews, MD. The NPI Number for Michael Groden is 1598350522 and holds a License No. (Maryland).

The current practice location address for Michael Groden is 1060 W Perimeter Rd, Jb Andrews, MD and can be reached out via phone at 888-999-1212.

Location: 1060 W Perimeter Rd, Jb Andrews, MD, 20762-6602
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598350522
Provider Name
Michael Groden
Credential
Provider Entity Type
Individual
Gender
Male
Address
1060 W Perimeter Rd, Jb Andrews, MD, 20762-6602
Phone Number
888-999-1212
Fax Number
Provider Enumeration Date
03/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1060 W Perimeter Rd
City
Jb Andrews
State
Maryland
Zip
20762-6602
Phone Number
888-999-1212
Fax Number
person
Provider Business Mailing Address Details
Address
1060 W Perimeter Rd
City
Jb Andrews
State
Maryland
Zip
20762-6602
Phone Number
888-999-1212
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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