Individual
BRIAN MICHAEL WHEATLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-7800
Mailing address
38010 TAMARAC BLVD, APT 125, WILLOUGHBY, OH 44094-3476
(724) 961-5618
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67.000278
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0274946
—
OH
01
—
67.000278
STATE MEDICAL BOARD OF OHIO
OH
Enumeration date
06/09/2016
Last updated
04/08/2020
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