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General NPI Number Information
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NPI Number | 1215969928
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Entity Type | Individual
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Provider Name | MICHAEL S WILLHITE M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 09/15/2016
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Provider Practice Location Address
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Address Line | 1025 BARACHEL LN
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City | GREENSBURG
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State | IN
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Zip | 47240-1269
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Country | US
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Telephone | 812-222-0051
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Fax | 812-222-0055
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Provider Business Mailing Address
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Address Line | PO BOX 189
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City | MADISON
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State | IN
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Zip | 47250-0189
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Country | US
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Telephone | 812-689-5101
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Fax | 812-689-6199
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01042916
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License Number State | IN
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