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NPI Code Detail

MEDICARE: DR. MICHAEL R WHETSTONE M.D.

MEDICARE:  DR. MICHAEL R WHETSTONE  M.D.
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
1174400000XSpecialistG5764TX

General Provider Information

NPI Number : 1689637076
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL R WHETSTONE M.D.
Provider Business Mailing Address
First Line : 7433 LAS COLINAS BLVD
Second Line :
City : IRVING
State : TX
Zip : 75063-7575
Country : US
Telephone Number : 972-831-8822
Fax Number : 972-831-8858
Provider Business Practice Location Address
First Line : 7433 LAS COLINAS BLVD
Second Line :
City : IRVING
State : TX
Zip : 75063-7575
Country : US
Telephone Number : 972-831-8822
Fax Number : 972-831-8858
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2006
Last Update Date : 07/21/2008

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Directions to “ DR. MICHAEL R WHETSTONE M.D.” Practice Location

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