Organization
JOSEPH M WHEATLEY
Active
Other names
MHC Prosthetics LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH MICHAEL WHEATLEY PHD (PRESIDENT)
(301) 997-0191
Entity
Organization
Contact information
Practice address
3710 RIVIERA STREET, MARLOW HEIGHTS, MD 20748
(301) 997-0191
(301) 997-0199
Mailing address
PO BOX 621, LEONARDTOWN, MD 20650
(301) 997-0191
(301) 997-0199
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
R942
MD
Other
Enumeration date
05/30/2006
Last updated
09/07/2007
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