Organization
GEORGE C WHITAKER MD PC
Active
Organization
GEORGE C WHITAKER MD PC
Active
Other names
Midwest Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE C WHITAKER MD (CORP PRESIDENT)
(269) 343-0377
Entity
Organization
Contact information
Practice address
1535 GULL RD, STE 120, KALAMAZOO, MI 49048-1650
(269) 343-0377
(269) 343-4744
Mailing address
1535 GULL RD, STE 120, KALAMAZOO, MI 49048-1650
(269) 343-0377
(269) 343-4744
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C91097
BCBSM
MI
01
—
2368660
CIGNA
MI
05
—
2836356
—
MI
01
—
5610603
AETNA
—
Enumeration date
10/03/2005
Last updated
06/24/2008
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