Individual
DR. THOMAS MERRILL DEWIRE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3974 SPRINGFIELD RD, GLEN ALLEN, VA 23060-4119
(804) 290-0200
(804) 273-6222
Mailing address
3974 SPRINGFIELD RD, GLEN ALLEN, VA 23060-4119
(804) 290-0200
(804) 273-6222
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
0101 033111
VA
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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