Individual
MICHELLE IESHA WERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSATC, CSCS
Contact information
Practice address
10322 BRISTOW CENTER DR, BRISTOW, VA 20136-2201
(571) 284-4230
Mailing address
4259 BEAR HOLLOW TRL, HAYMARKET, VA 20169-1708
(571) 283-5535
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
0126001167
VA
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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