Individual
PETER MICHAEL VANDERMEID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1605 GENERAL BOOTH BLVD, VIRGINIA BEACH, VA 23454-5691
(757) 721-0512
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 822-4355
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101058587
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010105897
—
VA
Enumeration date
05/17/2006
Last updated
02/17/2023
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