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MARY C WHITMER D.O.
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1609884436
Individual Registrant: MARY C WHITMER D.O.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
128 MICHIGAN AVE GLADSTONE, MI 49837-1929 US
Tel: 906-428-4084 Fax: 906-428-1881
Tel: 906-428-4084 Fax: 906-428-1881
Contact information for business:
128 MICHIGAN AVE GLADSTONE, MI 49837-1929 US
Tel: 906-428-4084 Fax: 906-428-1881
Tel: 906-428-4084 Fax: 906-428-1881
Registration Information:
NPI: 1609884436
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | MI | 5101009009 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| RR MEDICARE GROUP#CC2139 | 080017993 | MI | 01 |
| 3177829 | MI | 05 |
