Individual
MICHAEL WIID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 RIVERSIDE CIRCLE, ROANOKE, VA 24016
(540) 224-5170
(540) 983-8229
Mailing address
3 RIVERSIDE CIRCLE, ROANOKE, VA 24016
(540) 224-5170
(540) 983-8229
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101236344
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010086205
—
VA
05
—
010090831
—
VA
05
—
010090857
—
VA
Enumeration date
12/16/2005
Last updated
08/12/2011
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