Individual provider · NPI-1
Susan E Bienert, M.D.
Family Medicine · Alexandria, VA
NPI number1285638569
StatusActive
Last updated in NPPESNov 5, 2008
Details
- NPI
- 1285638569
- Entity type
- Individual (NPI-1)
- Name
- Susan E Bienert
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 2, 2005
- Last updated
- Nov 5, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 0101057056 | VA | Yes |
Practice location
6160 Fuller CtAlexandria, VA 22310-2540
Phone 703-922-5577 · Fax 702-971-9834
Mailing address
6160 Fuller CtAlexandria, VA 22310-2540
Phone 703-922-5577 · Fax 702-971-9834
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