Individual
DR. MARIE R ROBICHAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
825 FAIRFAX AVE, SUITE 118, NORFOLK, VA 23507-1914
(757) 446-5955
(757) 445-5196
Mailing address
PO BOX 936, EVMS MEDICAL GROUP, NORFOLK, VA 23501-0936
(757) 446-5955
(757) 446-5196
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101054423
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972578920
CORVEL
VA
05
—
1972578920
—
NC
05
—
1972578920
—
VA
01
—
542311
ANTHEM BC/BS
VA
Enumeration date
02/22/2006
Last updated
09/21/2016
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