Organization
MICHAEL W. WHITWORTH DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMANDA JUSTICE (OFFICE MANAGER)
(734) 282-2500
Entity
Organization
Contact information
Practice address
1500 EUREKA RD, WYANDOTTE, MI 48192-6103
(734) 282-2500
(734) 282-6397
Mailing address
1500 EUREKA RD, WYANDOTTE, MI 48192-6103
(734) 282-2500
(734) 282-6397
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
5101015449
MI
Other
Enumeration date
05/18/2007
Last updated
08/22/2020
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