Wheeler, Michael M

Wheeler, Michael M is an individual health care provider with primary practice located at 5444 Green St , Murray UT 84123-5632. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wheeler, Michael M can be contacted via phone (801) 262-8120.

Contact Information

Primary practice address
5444 Green St Murray UT 84123-5632
Phone: (801) 262-8120
Fax: (801) 262-3897
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01045513 Indiana
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 6581674-1205 Utah
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X M-10196 Idaho

Profile Details

NPI number 1922093053
LBN Legal business name Wheeler, Michael M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Sep 4th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922093053 NPPES
Indiana MEDICAID 200212610

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