Individual
MR. WAYNE M SHURTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1721 TAUSSIG BLVD, NORFOLK, VA 23511
(757) 953-8814
Mailing address
PO BOX 6173, VIRGINIA BEACH, VA 23456-0173
(757) 953-8814
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
06/26/2008
Last updated
06/26/2008
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