Provider Demographics
NPI:1548220148
Name:WHITING, MICHAEL D (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:D
Last Name:WHITING
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:48 N 1100 E
Mailing Address - Street 2:SUITE C
Mailing Address - City:AMERICAN FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84003-2910
Mailing Address - Country:US
Mailing Address - Phone:801-492-4333
Mailing Address - Fax:801-492-4371
Practice Address - Street 1:48 N 1100 E
Practice Address - Street 2:SUITE C
Practice Address - City:AMERICAN FORK
Practice Address - State:UT
Practice Address - Zip Code:84003-2910
Practice Address - Country:US
Practice Address - Phone:801-492-4333
Practice Address - Fax:801-492-4371
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2011-02-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
UT16887512052080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTA53531Medicare UPIN