Organization
CREATIVE MEDICAL INSTITUTE, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE FORSYTH VAN VLEEK (MANAGER)
(757) 490-9311
Entity
Organization
Contact information
Practice address
5589 GREENWICH RD, 175, VIRGINIA BEACH, VA 23462-6565
(757) 490-9311
(757) 490-9266
Mailing address
5589 GREENWICH RD, 175, VIRGINIA BEACH, VA 23462-6565
(757) 490-9311
(757) 490-9266
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
12/22/2009
Last updated
12/22/2009
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