Individual
DR. DANA THERESE VIRGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
505 N JACKSON ST, WOMEN'S HEALTH, JACKSON, MI 49201-1266
(517) 748-5500
(517) 780-9286
Mailing address
PO BOX 548, JACKSON, MI 49204-0548
(517) 784-3950
(517) 787-7990
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L979898
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
383251354
TAX ID
MI
Enumeration date
09/12/2005
Last updated
02/12/2021
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