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Individual

MICHAEL ANDREW KOCERKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
HS

Contact information

Practice address
300 E MAIN ST, SUITE 1000, NORFOLK, VA 23510-1753
(757) 628-4373
(757) 628-4355
Mailing address
300 E MAIN ST, SUITE 1000, NORFOLK, VA 23510-1753
(757) 628-4373
(757) 628-4355

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
10/31/2006
Last updated
07/08/2007
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