Individual
DR. MICHAEL JOSEPH MAYERCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4102 ELECTRIC RD, ROANOKE, VA 24018-0614
(540) 772-9515
Mailing address
6327 JULIET CT, ROANOKE, VA 24018-7788
(540) 400-7944
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
040142795
VA
Other
Enumeration date
10/03/2006
Last updated
03/01/2013
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