Individual
MR. MICHAEL CHRISTOPHER CLEAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
1465 HEWITT DR, UCT-ONE, NORFOLK, VA 23521-2519
(757) 462-3992
(757) 462-8142
Mailing address
1465 HEWITT DR, UCT-ONE, NORFOLK, VA 23521-2519
(757) 462-3992
(757) 462-8142
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
06/04/2008
Last updated
06/04/2008
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