Individual
DR. JOHN R WAITEKUS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1380 TUSCANY DR, VIRGINIA BEACH, VA 23456
(757) 301-9200
(757) 301-9246
Mailing address
1380 TUSCANY DR, VIRGINIA BEACH, VA 23456
(757) 301-9200
(757) 301-9246
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101102632
VA
Other
Enumeration date
03/02/2006
Last updated
07/08/2007
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