Provider First Line Business Practice Location Address:
5051 GREENSPRING AVENUE
Provider Second Line Business Practice Location Address:
MICHEL MIROWSKI, MD, OFF. BLDG
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21209
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-601-9515
Provider Business Practice Location Address Fax Number:
410-601-8095
Provider Enumeration Date:
06/26/2006