Individual
DR. MICHAEL ALAN MARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
405A OAK LN, SOUTH BOSTON, VA 24592-1633
(434) 572-1444
(434) 575-8159
Mailing address
405 A OAK LANE, SOUTH BOSTON, VA 24592-1633
(434) 572-1444
(434) 575-8159
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103000792
VA
Other
Enumeration date
07/13/2006
Last updated
08/12/2015
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