Individual
MICHAEL S VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7213
(757) 668-8225
Mailing address
PO BOX 79137, BALTIMORE, MD 21279-0137
(757) 668-7200
(757) 668-9691
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101057423
VA
2080P0202X
Pediatric Cardiology Physician
Primary
0101057423
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000929701
—
DE
05
—
0013956310001
—
PA
05
—
006724191
—
VA
05
—
217402200
—
MD
05
—
8906126
—
NC
Enumeration date
06/12/2006
Last updated
02/10/2010
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