Healthcare Provider Details

I. General information

NPI: 1407194889
Provider Name (Legal Business Name): WALTER REED NATIONAL MILITARY MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2013
Last Update Date: 01/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 N ST NW APT 503
WASHINGTON DC
20036-2336
US

IV. Provider business mailing address

2000 N ST NW APT 503
WASHINGTON DC
20036-2336
US

V. Phone/Fax

Practice location:
  • Phone: 202-288-2167
  • Fax:
Mailing address:
  • Phone: 202-288-2167
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code286500000X
TaxonomyMilitary Hospital
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL ROSNER
Title or Position: CHAIRMAN OF NEUROSURGERY
Credential: MD
Phone: 240-386-1815