Individual
MICHAEL M WITHIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6163 E VIRGINIA BEACH BLVD STE 9, NORFOLK, VA 23502-2701
(757) 742-9933
(888) 809-1957
Mailing address
6163 E VIRGINIA BEACH BLVD STE 9, NORFOLK, VA 23502-2701
(757) 742-9933
(888) 809-1957
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
171WH0202X
Home Modifications Contractor
—
—
374700000X
Technician
—
—
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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