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Individual

DR. SAMUEL MICHAEL WILLINGER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3300 RIVERMONT AVE, NEONATOLOGY OFFICE, LYNCHBURG, VA 24503-2030
(434) 947-5611
(434) 947-3932
Mailing address
1909 ROYAL OAK DR, LYNCHBURG, VA 24503-1856
(434) 384-5076
(434) 384-0580

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
0101043921
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0101043921
MEDICAL LICENSE
VA
Enumeration date
04/17/2006
Last updated
07/08/2007
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