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Individual

JEREMIAH WHITTINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
30055 NORTHWESTERN HWY, SUITE 270, FARMINGTON HILLS, MI 48334-3230
(248) 865-4220
(248) 865-4103
Mailing address
30055 NORTHWESTERN HWY, SUITE 270, FARMINGTON HILLS, MI 48334-3230
(248) 865-4220
(248) 865-4103

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301042551
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104504490
MI
01
160631551
BCBS
MI
05
292636410
MI
01
D35405
HAP
Enumeration date
08/09/2005
Last updated
06/08/2016
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