Most Relevant Information
Provider Data
| NPI Number: | 1003832817 |
| Provider Name: | MICHAEL A MISTRETTA M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207RP1001X |
| Specialty: | Internal Medicine |
| License Number: | 0101052617 |
Most Important Dates
| Enumeration Date: | 07/14/2006 |
| Last Updated: | 05/20/2021 |
Provider Practice Location
6600 W BROAD ST STE 300
RICHMOND
VA
232301709
Practice Location Phone/Fax
| Phone: | 8043204243 |
| Fax: | 8046220552 |
Provider Mailing Location
1000 BOULDERS PKWY
SUITE 102
RICHMOND
VA
232255545
Provider Mailing Phone/Fax
| Phone: | 8043204243 |
| Fax: | 8042821486 |
Suggested EMR
Pulmonologist EMR