Individual
ERIC ANDREW WHEATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4350 JACKSON RD, STE 100, ANN ARBOR, MI 48103-1889
(734) 971-9344
(734) 971-2303
Mailing address
24 FRANK LLOYD WRIGHT DR, PO BOX 0446 LOBBY J, ANN ARBOR, MI 48105-9484
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301070291
MI
208M00000X
Hospitalist Physician
4301070291
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4701318
—
MI
01
—
700H161150
BLUE SHIELD
—
Enumeration date
04/25/2006
Last updated
12/28/2016
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