person
Dr. Max Erwin Bertholf, MD
General Practice Physician in Roanoke, Virginia
NPI 1619147691

Max Erwin Bertholf is a General Practice Physician based in Daleville, VA. Max Erwin Bertholf practices in Roanoke, VA and has the professional credentials of MD. The NPI Number for Max Erwin Bertholf is 1619147691 and holds a License No. 0101012335 (Virginia).

The current practice location address for Max Erwin Bertholf is 498 Coyner Springs Rd, Roanoke, VA and can be reached out via phone at 540-561-3840 and via fax at 540-561-3848. You can also correspond with Max Erwin Bertholf through the mailing address at 200 THE GLEBE BLVD, DALEVILLE, VA - 24083-3726 (mailing address contact number: 540-591-2333).

Location: 498 Coyner Springs Rd, Roanoke, VA, 24083-3726
person
Provider Profile Details
NPI Number
1619147691
Provider Name
Max Erwin Bertholf
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
498 Coyner Springs Rd, Roanoke, VA, 24083-3726
Phone Number
540-561-3840
Fax Number
540-561-3848
Provider Enumeration Date
03/06/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BO7559 05 VA
institution
Provider Business Practice Location Address Details
Address
498 Coyner Springs Rd
City
State
Zip
24012-9038
Phone Number
540-561-3840
Fax Number
540-561-3848
person
Provider Business Mailing Address Details
Address
200 The Glebe Blvd
City
State
Zip
24083-3726
Phone Number
540-591-2333
Fax Number
540-591-2333
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
0101012335 (Virginia)
Definition
Definition to come...
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