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Individual

DR. MICHAEL JOHN GEHEREN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2859 VIRGINIA BEACH BLVD STE 108, VIRGINIA BEACH, VA 23452-7622
(757) 472-0630
Mailing address
2859 VIRGINIA BEACH BLVD STE 108, VIRGINIA BEACH, VA 23452-7622
(757) 472-0630

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001729
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1053506428
GROUP NPI
VA
01
1184655912
INDIVIGUAL NPI
VA
Enumeration date
07/06/2006
Last updated
08/08/2011
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