MEDICARE: DR. MAXIMILIAN MUENKE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207SG0201X	Clinical Genetics (M.D.) Physician	MD040772L	PA
2	207SG0201X	Clinical Genetics (M.D.) Physician	D0066787	MD

General Provider Information

NPI Number	:	1477985851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAXIMILIAN MUENKE M.D.

Provider Business Mailing Address
First Line	:	5131 DUDLEY LN
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20814-5429
Country	:	US
Telephone Number	:	301-273-5250
Fax Number	:

Provider Business Practice Location Address
First Line	:	5131 DUDLEY LN
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20814-5429
Country	:	US
Telephone Number	:	301-273-5250
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2013
Last Update Date	:	08/07/2013

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