Individual
MARY C WHITMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
128 MICHIGAN AVE, GLADSTONE, MI 49837-1929
(906) 428-4084
(906) 428-1881
Mailing address
128 MICHIGAN AVE, GLADSTONE, MI 49837-1929
(906) 428-4084
(906) 428-1881
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101009009
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080017993
RR MEDICARE GROUP#CC2139
MI
05
—
3177829
—
MI
Enumeration date
08/04/2006
Last updated
01/22/2009
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