Individual
DR. JOHN C WHEELER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD,MD
Contact information
Practice address
92 ALLEN ST, RUTLAND, VT 05701-4562
(802) 775-2588
(802) 775-8062
Mailing address
92 ALLEN ST, RUTLAND, VT 05701-4562
(802) 775-2588
(802) 775-8062
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
0420005701
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0302775459
TAX ID
VT
Enumeration date
08/24/2005
Last updated
07/08/2007
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