# MICHAEL C WHITT MD, A PROF. CORP.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558543025
- **Authorized official:** DR. MICHAEL CARTER WHITT M.D. (OWNER)
- **Authorized official phone:** (415) 663-1082

## Contact information

- **Practice address:** 11150 STATE ROUTE 1, PT REYES STA, CA 94956
- **Practice address phone:** (415) 663-1082
- **Practice address fax:** (415) 663-9474
- **Mailing address:** PO BOX 240, PT REYES STA, CA 94956
- **Mailing address phone:** (415) 663-1082
- **Mailing address fax:** (415) 663-9474

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | C313340 | CA | Yes |

## Other

- **Enumeration date:** 11/27/2007
- **Last updated:** 01/24/2008