Individual
MITCHELL SURKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4516 PLANK RD, FREDERICKSBURG, VA 22407-0147
(540) 371-2020
Mailing address
4516 PLANK RD, FREDERICKSBURG, VA 22407-0147
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618003028
VA
152WC0802X
Corneal and Contact Management Optometrist
0618003028
VA
Other
Enumeration date
06/04/2021
Last updated
06/22/2021
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