Provider Demographics
NPI:1427401645
Name:WHEELER, LUANNE (TEACHING)
Entity Type:Individual
Prefix:
First Name:LUANNE
Middle Name:
Last Name:WHEELER
Suffix:
Gender:F
Credentials:TEACHING
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 MURRAY ST SW
Mailing Address - Street 2:
Mailing Address - City:WYOMING
Mailing Address - State:MI
Mailing Address - Zip Code:49548-3048
Mailing Address - Country:US
Mailing Address - Phone:616-828-9349
Mailing Address - Fax:
Practice Address - Street 1:229 MURRAY ST SW
Practice Address - Street 2:
Practice Address - City:WYOMING
Practice Address - State:MI
Practice Address - Zip Code:49548-3048
Practice Address - Country:US
Practice Address - Phone:616-828-9349
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-22
Last Update Date:2016-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other