Individual
THOMAS M WHITTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1060 S MAIN ST STE 2, TIPTON, IN 46072-8327
(765) 675-9889
(888) 544-9037
Mailing address
1060 S MAIN ST STE 2, TIPTON, IN 46072-8327
(765) 675-9889
(888) 544-9037
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
01055526A
IN
208600000X
Surgery Physician
Primary
01055526
IN
2086S0129X
Vascular Surgery Physician
01055526A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000320783
ANTHEM
IN
05
—
200356650
—
IN
01
—
Q0089831
SHO
IN
Enumeration date
12/29/2005
Last updated
01/20/2016
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