Healthcare Provider Details

I. General information

NPI: 1730119629
Provider Name (Legal Business Name): DAWN F MUENCH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WALTER REED ARMY MEDICAL CTR
WASHINGTON DC
20307-0001
US

IV. Provider business mailing address

13608 MIDDLEVALE LN
SILVER SPRING MD
20906-2121
US

V. Phone/Fax

Practice location:
  • Phone: 202-782-9774
  • Fax:
Mailing address:
  • Phone: 240-498-0516
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD-12580
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: