Individual
MICHAEL EDWARD GOLEMBIESKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12255 FAIR LAKES PKWY, FAIR OAKS MEDICAL CENTER, FAIRFAX, VA 22033-3952
(703) 934-5700
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101024591
VA
Other
Enumeration date
11/13/2006
Last updated
11/11/2011
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