Individual
JOHN M WHEAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3333 E MAIN ST, MERRILL, WI 54452-8959
(715) 539-5600
Mailing address
PO BOX 1008, WAUSAU, WI 54402-1008
(715) 847-2304
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44687
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43514400
—
WI
Enumeration date
07/17/2006
Last updated
09/22/2009
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