Individual
RONALD G WHEELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
12339
AZ
207ND0101X
MOHS-Micrographic Surgery Physician
12339
AZ
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
2007021723
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
742595
—
AZ
Enumeration date
11/21/2006
Last updated
09/25/2008
Update your record
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