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Individual

DR. ANDREW RAUL VILLANUEVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1157 FIRST COLONIAL RD STE 300, VIRGINIA BEACH, VA 23454-2432
(757) 333-8001
(757) 333-8002
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101268875
VA
207N00000X
Dermatology Physician
2022-01217
NC
207ND0101X
MOHS-Micrographic Surgery Physician
0101268875
VA
207ND0101X
MOHS-Micrographic Surgery Physician
2022-01217
NC

Other

Enumeration date
04/14/2016
Last updated
11/21/2023
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