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Individual

DR. WHEELER JOHN DALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
901 SAINT MARYS DR STE 400, EVANSVILLE, IN 47714-0520
(812) 485-6030
Mailing address
5060 SW PHILOMATH BLVD, # 512, CORVALLIS, OR 97333-3239
(541) 250-9074

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01081209A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
30108
KY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD25366
OR
207RP1001X
Pulmonary Disease Physician
Primary
01081209A
IN
207RP1001X
Pulmonary Disease Physician
30108
KY
207RP1001X
Pulmonary Disease Physician
MD25366
OR
207RS0012X
Sleep Medicine (Internal Medicine) Physician
30108
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1780707174
VA
Enumeration date
04/09/2007
Last updated
03/10/2023
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