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Individual

MICHAEL S WILLHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1025 BARACHEL LN, GREENSBURG, IN 47240-1269
(812) 222-0051
(812) 222-0055
Mailing address
PO BOX 189, MADISON, IN 47250-0189
(812) 689-5101
(812) 689-6199

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01042916
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000042202
ANTHEM BCBS
IN
01
080117644
MEDICARE RAILROAD
01
413468P
SIHO
IN
01
4639820
AETNA
01
700254
FEDERAL BLACK LUNG
Enumeration date
07/06/2006
Last updated
09/15/2016
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