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Individual

JAMES WHEAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
551 LINN ST, ALLEGAN, MI 49010-1595
(269) 686-5800
(269) 686-5899
Mailing address
551 LINN ST, ALLEGAN, MI 49010-1595
(269) 686-5800
(269) 686-5899

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
JW025948
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01-30461
PHP PROV #
01
0800300132
BCBS MI PROV #
MI
05
1189230
MI
01
1838110
UNITED HEALTHCARE
01
20475
HEALTH PLAN OF MI
MI
01
JW025948
STATE LICENSE #
MI
01
P00391458
RAILROAD MEDICARE
MI
01
P00391458
RAILROAD MEDICARE
01
P53507
BLUE CARE NETWORK
MI
Enumeration date
11/04/2005
Last updated
11/16/2007
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