Individual
MICHAEL WHEATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2928 HAMILTON BLVD STE 101, SIOUX CITY, IA 51104-2424
(712) 258-3636
Mailing address
2928 HAMILTON BLVD STE 101, SIOUX CITY, IA 51104-2424
(712) 258-3636
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
08612
IA
Other
Enumeration date
01/15/2007
Last updated
05/02/2012
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