Individual
DR. BRIAN J WHEATLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
611 W. PARK ST., HVI, URBANA, IL 61801-2500
(217) 904-7000
(217) 904-7742
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61803-6002
(217) 383-6792
(217) 383-4752
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301083680
MI
Other
Enumeration date
05/03/2007
Last updated
05/16/2014
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