Individual
DR. MICHAEL D. FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 SENTARA CIR, STE 450, WILLIAMSBURG, VA 23188-5716
(757) 345-4600
(757) 345-4601
Mailing address
400 SENTARA CIR, STE 450, WILLIAMSBURG, VA 23188-5716
(757) 345-4600
(757) 345-4601
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101052883
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005602360
—
VA
01
—
080094648
RAILROAD
VA
Enumeration date
04/14/2006
Last updated
02/29/2012
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