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Individual

MICHAEL P POIRIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-9222
(757) 668-7568
Mailing address
PO BOX 79137, BALTIMORE, MD 21279-0137
(757) 668-7200
(757) 668-9691

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101054124
VA
208000000X
Pediatrics Physician
0101054124
VA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
0101054124
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0001149201
DE
05
0016702450001
PA
05
006721885
VA
05
0080003000
WV
05
668600100
MD
05
890638G
NC
Enumeration date
06/05/2006
Last updated
12/18/2009
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