Individual
BRIANNA MICHALOSKY COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10571 TELEGRAPH RD, SUITE 110, GLEN ALLEN, VA 23059-4652
(804) 545-5067
Mailing address
10571 TELEGRAPH RD, SUITE, GLEN ALLEN, VA 23059-4652
(804) 545-5067
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101245851
VA
390200000X
Student in an Organized Health Care Education/Training Program
0116018357
VA
Other
Enumeration date
05/22/2007
Last updated
01/05/2012
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