Victor H Mickunas is a Specialist in Norfolk, Virginia. Victor H Mickunas practices all healthcare services and medical treatments related to Specialist. The NPI Number for Victor H Mickunas is 1457309171. The last update date is 2012-12-12.
Victor H Mickunas's current location address is 1909 Granby St, Norfolk, Virginia. You can contact this provider via phone number 7576400022 and fax number 7576278064. The mailing address for Victor H Mickunas is 1909 Granby St, Norfolk, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Victor H Mickunas |
|---|---|
| Address | 1909 Granby St, Norfolk, Virginia |
| Phone Number | 7576400022 |
| Fax Number | 7576278064 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1457309171 |
|---|---|
| Provider Enumeration Date | 2006-05-05 |
| Last Updated Date | 2012-12-12 |
Provider Mailing Address Detail
| Address | 1909 Granby St |
|---|---|
| City | Norfolk |
| State | Virginia (VA) |
| Post Code | 235172349 |
| Phone Number | 7576400022 |
| Fax Number | 7576278064 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 101044606 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 13017 | VA | OPTIMA | |
| 6717331 | VA | -- | |
| 331437 | VA | ANTHEM |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Victor H Mickunas by the Centers for Medicare & Medicaid Services?
The Victor H Mickunas has been assigned the NPI (National Provider Identifier) 1457309171 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Victor H Mickunas's physical address?
The Victor H Mickunas is physically located at 1909 Granby St, in the city of Norfolk, VA, with the postal code 235172349.
What is the Victor H Mickunas's specialty and taxonomy code?
The Victor H Mickunas's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
When did the Victor H Mickunas receive its 1457309171?
The Victor H Mickunas was issued its 1457309171 on 2006-05-05, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Victor H Mickunas, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Victor H Mickunas, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-12-12.