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Dr. Victor H Mickunas, MD
Specialist in Norfolk, Virginia
NPI 1457309171

Victor H Mickunas is a Specialist based in Norfolk, VA. Victor H Mickunas practices in Norfolk, VA and has the professional credentials of MD. The NPI Number for Victor H Mickunas is 1457309171 and holds a License No. 0101044606 (Virginia).

The current practice location address for Victor H Mickunas is 1909 Granby St, Norfolk, VA and can be reached out via phone at 757-640-0022 and via fax at 757-627-8064. You can also correspond with Victor H Mickunas through the mailing address at 1909 GRANBY ST, NORFOLK, VA - 23517-2349 (mailing address contact number: 757-640-0022).

Location: 1909 Granby St, Norfolk, VA, 23517-2349
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Provider Profile Details
NPI Number
1457309171
Provider Name
Victor H Mickunas
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1909 Granby St, Norfolk, VA, 23517-2349
Phone Number
757-640-0022
Fax Number
757-627-8064
Provider Enumeration Date
05/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13017 01 VA OPTIMA
006717331 05 VA
331437 01 VA ANTHEM
institution
Provider Business Practice Location Address Details
Address
1909 Granby St
City
State
Zip
23517-2349
Phone Number
757-640-0022
Fax Number
757-627-8064
person
Provider Business Mailing Address Details
Address
1909 Granby St
City
State
Zip
23517-2349
Phone Number
757-640-0022
Fax Number
757-627-8064
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
0101044606 (Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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