MR. Michael Waters, IDC

NPI #1316147457 in Thurmont, Maryland

Provider Information

NPI Number
1316147457
Entity Type
Individual
Name
MR. Michael Waters, IDC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Military Health Care Provider - Independent Duty Corpsman
Credential
IDC
Enumeration Date
Jul 18, 2007
Last Updated
Jul 18, 2007

Practice Location

Address
14900 PARK CENTRAL ROAD
Address 2
NAVAL SUPPORT FACILITY
ZIP Code
21788
Phone
(301) 271-1460

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider - Independent Duty CorpsmanIndependent Duty Corpsman

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