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Individual

MICHAEL S. ROBERTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
114 NATIONWIDE DR, LYNCHBURG, VA 24502-4271
(434) 239-7890
(434) 237-9222
Mailing address
114 NATIONWIDE DR, LYNCHBURG, VA 24502-4271
(434) 239-7890
(434) 237-9222

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101239170
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1740202902
VA
01
3106054
CIGNA HEALTHCARE
VA
01
361531
ANTHEM
VA
Enumeration date
07/24/2006
Last updated
12/23/2008
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