Individual
GUNVOR E WEIRICK-SACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
4687 POUNCEY TRACT RD, GLEN ALLEN, VA 23059-5802
(804) 422-5437
(804) 474-9071
Mailing address
4687 POUNCEY TRACT RD, GLEN ALLEN, VA 23059-5802
(804) 422-5437
(804) 474-9071
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101043918
VA
208000000X
Pediatrics Physician
Primary
0101043918
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006726976
—
VA
05
—
1841283660
—
VA
Enumeration date
08/26/2005
Last updated
07/17/2013
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