Individual
STEPHEN MICHAEL WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
3828 TYBURN DR, BEALE AFB, CA 95903-2254
(605) 499-9313
Mailing address
3828 TYBURN DR, BEALE AFB, CA 95903-2254
(605) 499-9313
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
04/05/2013
Last updated
04/05/2013
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