Individual
MICHAEL CARTER WHITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11150 HIGHWAY 1, PT REYES STA, CA 94956
(415) 663-1082
(415) 663-9474
Mailing address
PO BOX 240, PT REYES STA, CA 94956
(415) 663-1082
(415) 663-9474
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
C313340
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C313340
—
CA
Enumeration date
12/18/2006
Last updated
10/12/2011
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