Individual
IVAN KENNETH MUHLENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
844 KEMPSVILLE RD, SUITE 210, NORFOLK, VA 23502-3927
(757) 461-6131
(757) 461-3897
Mailing address
844 KEMPSVILLE RD, SUITE 210, NORFOLK, VA 23502-3927
(757) 461-6131
(757) 461-3897
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
0101028126
VA
207VG0400X
Gynecology Physician
Primary
0101028126
VA
Other
Enumeration date
08/08/2006
Last updated
01/21/2010
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