Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Michael C Etheredge II, IDMT

Individual provider Independent Duty Medical Technicians · NPI 1639729106

Mr. Michael C Etheredge II, IDMT is an Independent Duty Medical Technicians in Langley AFB, Virginia. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

77 Nealy Ave
Langley AFB, VA 23665-2040
Phone: (757) 764-6800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Medical Technicians (primary) Taxonomy 1710I1003X

Record details

NPI number1639729106
Entity typeIndividual (Type 1)
GenderMale
Credentials IDMT
Sole proprietorNo
NPI enumeratedSeptember 17, 2019
Last updated in NPPESSeptember 17, 2019

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