| Internist Western Branch | |
|
4020 Raintree Rd Suite B Chesapeake VA 23321-3749 | |
| (757) 465-8450 | |
| (757) 465-8616 |
| Full Name | Internist Western Branch |
|---|---|
| Speciality | Internal Medicine |
| Location | 4020 Raintree Rd, Chesapeake, Virginia |
| Authorized Official Name and Position | Michael K Kerner (CEO) |
| Authorized Official Contact | 7576735929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Internist Western Branch 4020 Raintree Rd Suite B Chesapeake VA 23321-3749 Ph: (757) 465-8450 | Internist Western Branch 4020 Raintree Rd Suite B Chesapeake VA 23321-3749 Ph: (757) 465-8450 |
| NPI Number | 1508893892 |
|---|---|
| Provider Enumeration Date | 06/26/2006 |
| Last Update Date | 02/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508893892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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