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Individual

MR. MICHAEL ALLEN HERTEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1225 COURTHOUSE RD, STAFFORD, VA 22554-7108
(775) 220-7911
Mailing address
8 ROLLINGSIDE DR, FREDERICKSBURG, VA 22406-7268

Taxonomy

Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
E202205737
VA
146N00000X
Basic Emergency Medical Technician
Primary
202205737
VA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/14/2025
Last updated
01/15/2026
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