Individual
TIMOTHY MICHAEL WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
613 23RD ST STE 440, ASHLAND, KY 41101-2885
(606) 329-2888
(606) 329-2890
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
36483
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1805837000
—
WV
05
—
2228379
—
OH
05
—
64028103
—
KY
Enumeration date
05/26/2006
Last updated
07/21/2022
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