Individual
MICHAEL SHRAMOWIAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLC
Contact information
Practice address
1158 46TH ST, VIENNA, WV 26105-9409
(304) 295-3131
(304) 295-0700
Mailing address
1158 46TH ST, VIENNA, WV 26105-9409
(304) 295-3131
(304) 295-0700
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
17187
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0113659000
—
WV
Enumeration date
07/25/2006
Last updated
06/12/2013
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