Individual
DR. MICHAEL H. WHITLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1420 S BUSINESS 61 STE DEF, BOWLING GREEN, MO 63334-5230
(573) 324-5562
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
106671
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
248711210
—
MO
Enumeration date
08/04/2006
Last updated
11/22/2022
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