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General NPI Number Information
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NPI Number | 1659506459
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Entity Type | Individual
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Provider Name | MICHAEL WILLIAM WHEATON M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/21/2009
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 285 E STATE ST STE 430
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City | COLUMBUS
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State | OH
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Zip | 43215-4358
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Country | US
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Telephone | 614-533-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 285 E STATE ST STE 430
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City | COLUMBUS
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State | OH
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Zip | 43215-4358
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Country | US
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Telephone |
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Fax |
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 4301094200
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2081P0004X
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Taxonomy Name | Spinal Cord Injury Medicine Physician
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License Number | 4301094200
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 35.151575
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License Number State | OH
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