Michele Trippel Md Inc | |
19420 Golf Vista Plaza Unit 130 Lansdowne VA 20176 | |
(703) 723-8668 | |
(703) 723-1966 |
Full Name | Michele Trippel Md Inc |
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Speciality | Internal Medicine |
Location | 19420 Golf Vista Plaza, Lansdowne, Virginia |
Authorized Official Name and Position | Michele D Trippel (OWNER/PHYSICIAN) |
Authorized Official Contact | 7037238668 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Michele Trippel Md Inc 19420 Golf Vista Plz Unit 130 Lansdowne VA 20176-8265 Ph: (703) 723-8668 | Michele Trippel Md Inc 19420 Golf Vista Plaza Unit 130 Lansdowne VA 20176 Ph: (703) 723-8668 |
NPI Number | 1710927082 |
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Provider Enumeration Date | 06/07/2006 |
Last Update Date | 06/07/2012 |
Medicare PECOS PAC ID | 7012912678 |
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Medicare Enrollment ID | O20061003000668 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710927082 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Michele D Trippel |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225078587 PECOS PAC ID: 6204864754 Enrollment ID: I20050727000397 |
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