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Individual

DR. MITCHELL R WASKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1465 JOHNSTON WILLIS DR, RICHMOND, VA 23235-4730
(804) 320-3668
(804) 320-2600
Mailing address
1465 JOHNSTON WILLIS DR, RICHMOND, VA 23235-4730
(804) 320-3668
(804) 320-2600

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
0103000676
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010103720
VA
Enumeration date
09/09/2005
Last updated
11/28/2018
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