Individual
MICHAEL BASUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5219 LANKFORD HWY, NEW CHURCH, VA 23415-3332
(757) 824-5676
Mailing address
20280 MARKET ST STE 301, ONANCOCK, VA 23417-1331
(757) 414-0400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101224960
VA
207RN0300X
Nephrology Physician
D0064152
MD
Other
Enumeration date
01/06/2006
Last updated
04/20/2022
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