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NPI Code Detail

MEDICARE: DR. MICHAEL ALBERT WHINERY DO

MEDICARE: DR. MICHAEL ALBERT WHINERY DO
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
1207Q00000XFamily Medicine Physician2122OK

General Provider Information

NPI Number : 1336239540
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL ALBERT WHINERY DO
Provider Business Mailing Address
First Line : PO BOX 2745
Second Line :
City : CLAREMORE
State : OK
Zip : 74018-2745
Country : US
Telephone Number : 918-342-5432
Fax Number :
Provider Business Practice Location Address
First Line : 3001 W BLUE STARR DR
Second Line :
City : CLAREMORE
State : OK
Zip : 74017-2544
Country : US
Telephone Number : 918-342-5432
Fax Number : 918-342-0822
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2006
Last Update Date : 07/09/2007

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Directions to “ DR. MICHAEL ALBERT WHINERY DO” Practice Location

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