MEDICARE: WING AND WHEELER MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	0031686	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	1750385779	OTHER		MEDICARE NPI (MICHAEL K WHEELER MD)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174786404
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WING AND WHEELER MD PA

Provider Business Mailing Address
First Line	:	250 DIXIE BLVD
Second Line	:	#102
City	:	DELRAY BEACH
State	:	FL
Zip	:	33444-3857
Country	:	US
Telephone Number	:	561-278-2515
Fax Number	:	561-243-2130

Provider Business Practice Location Address
First Line	:	250 DIXIE BLVD
Second Line	:	#102
City	:	DELRAY BEACH
State	:	FL
Zip	:	33444-3857
Country	:	US
Telephone Number	:	561-278-2515
Fax Number	:	561-243-2130

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MICHAEL K WHEELER
Credential	:	MD
Telephone Number	:	561-278-2515

Provider Enumeration Date	:	07/07/2008
Last Update Date	:	09/01/2009

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Directions to “WING AND WHEELER MD PA ” Practice Location

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