Individual
MICHAEL LEE WHEAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 ROOSEVELT RD, VALPARAISO, IN 46383-2800
(219) 531-9419
(219) 531-9655
Mailing address
2022 KELLE DR, CHESTERTON, IN 46304-8708
(219) 364-3616
(219) 364-3610
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01038411A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000184894
BLUE CROSS BLUE SHIELD IN
—
01
—
060034723
RAILROAD MEDICARE
—
05
—
100100390
—
IN
01
—
90000561
BLUE SHIELD OF IL
—
Enumeration date
07/24/2006
Last updated
09/15/2020
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