Provider Demographics
NPI:1235168071
Name:WHYTE, MICHAEL P (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:P
Last Name:WHYTE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:660 S EUCLID AVE
Mailing Address - Street 2:CB 8127
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1010
Mailing Address - Country:US
Mailing Address - Phone:314-454-7775
Mailing Address - Fax:314-996-3087
Practice Address - Street 1:4921 PARKVIEW PL
Practice Address - Street 2:DIV IM BONE & MINERAL, STE 5C
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1032
Practice Address - Country:US
Practice Address - Phone:314-454-7775
Practice Address - Fax:314-996-3087
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2021-11-15
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Provider Licenses
StateLicense IDTaxonomies
MOR9422207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO200991214Medicaid
ILENROLLEDMedicaid
MO460000846Medicare PIN
MO258010183Medicaid