Luminis Health Medical Group, LLC
Family Medicine in St Michaels, MD. Organization (NPI-2).
NPI number1164088159
StatusActive
Last updated in NPPESMay 24, 2021
Details
- NPI
- 1164088159
- Entity type
- Organization (NPI-2)
- Legal business name
- Luminis Health Medical Group, LLC
- Organization subpart
- No
- Enumeration date
- May 15, 2019
- Certification date
- May 24, 2021
- Last updated
- May 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Aamg River Family Physicians (Doing Business As)
Practice location
1110 S Talbot St Ste 6St Michaels, MD 21663-2606
Phone 410-820-7270
Mailing address
Po Box 12622Belfast, ME 04915-4017
Authorized official
Peter Odenwald
Vice President
4434816415
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