Individual
MR. MICHAEL JOHN VIETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
633 MDG 77 NEALY AVE, YORKTOWN, VA 23665
(228) 382-8146
Mailing address
633 MDG 77 NEALY AVE, YORKTOWN, VA 23665
(228) 382-8146
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-004383
VA
Other
Enumeration date
10/30/2013
Last updated
10/30/2013
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