Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | 0101031026 | VA |
NPI | 1881016541 |
---|---|
Provider Name | Michael John Solhaug |
First Address | Virginia Beach, VA 23451-2330 |
Second Address | Virginia Beach, VA 23451-2330 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2014 |
Last Update Date | 15/01/2014 |