Individual
DR. MICHAEL RENNEL DUNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9501 FARRELL RD, FORT BELVOIR, VA 22060-5901
(703) 805-0599
Mailing address
6011 ARCHSTONE WAY, # 105, ALEXANDRIA, VA 22310-5514
(703) 313-0456
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
028830
CT
Other
Enumeration date
01/31/2006
Last updated
12/01/2021
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