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Individual

MR. MICHAEL E WHITMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
501 E US HWY 40, BRAZIL, IN 47834
(812) 448-8408
(812) 443-1427
Mailing address
PO BOX 244, BRAZIL, IN 47834
(812) 448-8404
(812) 443-1427

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08000514A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000088620
ANTHEM BCBS
Enumeration date
11/01/2006
Last updated
07/08/2007
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