Stephen Michael Wheeler, IDMT
Military Health Care Provider, Independent Duty Medical Technicians in Beale Afb, CA. Individual provider (NPI-1).
NPI number1851634026
StatusActive
Last updated in NPPESApr 5, 2013
Details
- NPI
- 1851634026
- Entity type
- Individual (NPI-1)
- Name
- Stephen Michael Wheeler
- Credential
- IDMT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 5, 2013
- Last updated
- Apr 5, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1710I1003X | Military Health Care Provider, Independent Duty Medical Technicians | – | – | Yes |
Practice location
3828 Tyburn DrBeale Afb, CA 95903-2254
Phone 605-499-9313
Mailing address
3828 Tyburn DrBeale Afb, CA 95903-2254
Phone 605-499-9313
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All 9 Independent Duty Medical Technicians providers in Beale Afb · All 130 providers in Beale Afb
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