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Individual

DR. JON MICHAEL ADLEBERG

Active
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Individual

DR. JON MICHAEL ADLEBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
0101056722
VA
174400000X
Specialist
9800004
NC
207W00000X
Ophthalmology Physician
0101056722
VA
207W00000X
Ophthalmology Physician
9800004
NC
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
0101056722
VA
207WX0107X
Retina Specialist (Ophthalmology) Physician
9800004
NC

Other

Enumeration date
06/13/2005
Last updated
05/15/2017
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