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Organization

MARYVIEW HOSPITAL

Active
Parent organization
MARYVIEW HOSPITAL
Other names
Internist Western Branch
Organization subpart
Yes

Provider details

NPI number
Legal business name
MARYVIEW HOSPITAL
Authorized official
MICHAEL K KERNER (CEO)
(757) 673-5929
Entity
Organization

Contact information

Practice address
4020 RAINTREE RD, SUITE B, CHESAPEAKE, VA 23321-3749
(757) 465-8450
(757) 465-8616
Mailing address
4020 RAINTREE RD, SUITE B, CHESAPEAKE, VA 23321-3749
(757) 465-8450
(757) 465-8616

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
06/26/2006
Last updated
02/01/2012
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