Individual
DR. MICHAEL WARD COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
825 FAIRFAX AVE, SUITE 545, NORFOLK, VA 23507-1914
(757) 446-8999
(757) 446-7922
Mailing address
PO BOX 936, NORFOLK, VA 23501-0936
(757) 446-8999
(757) 446-7922
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102036945
VA
207RI0200X
Infectious Disease Physician
0102036945
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-032
CHAMPUS/TRICARE
VA
05
—
005645191
—
VA
01
—
066T3
BC/BS NC
NC
01
—
246126
ANTHEM BC/BS VA/HK
VA
01
—
295619
UHC/MAMSI/MDIPA
VA
01
—
64308
SENTARA OHP/SHP
VA
01
—
64309
SENTARA/OPTIMA ID PCP
VA
05
—
89066T3
—
NC
01
—
PAR
VIRGINIA HEALTH NETWORK
VA
Enumeration date
02/10/2006
Last updated
01/29/2009
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