IndividualActive
Michael Waters, IDC
NPI 1316147457 · Independent Duty Corpsman · Thurmont, MD
Provider details
- NPI number
- 1316147457
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
14900 Park Central Road
Naval Support Facility
Thurmont, MD 21788
Phone: (301) 271-1460
Approximate (ZIP-level) locationGet directions
Mailing address
10384 Chamberlin Court East
Waldorf, MD 20601
Registry dates
- Enumerated
- 2007-07-18
- Last updated
- 2007-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.