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Individual

MRS. CYNTHIA MARIE WHEELER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301056628
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0Q26008
BCBS OF MICHIGAN
01
1006439
MCLAREN
MI
01
4908409
PROCARE
MI
05
4908409
MI
01
495680
HEALTH ALLIANCE PLAN
MI
01
P00343263
RR MEDICARE
01
SJ820005
M-CARE
MI
Enumeration date
07/27/2006
Last updated
10/30/2007
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