Provider Demographics
NPI:1952571218
Name:WHEELER, MIRIAM R (MD)
Entity Type:Individual
Prefix:DR
First Name:MIRIAM
Middle Name:R
Last Name:WHEELER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 8585
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17105-8585
Mailing Address - Country:US
Mailing Address - Phone:717-909-2467
Mailing Address - Fax:717-798-8113
Practice Address - Street 1:522 LEWISBERRY RD
Practice Address - Street 2:
Practice Address - City:NEW CUMBERLAND
Practice Address - State:PA
Practice Address - Zip Code:17070-2313
Practice Address - Country:US
Practice Address - Phone:717-909-2467
Practice Address - Fax:717-798-8113
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-03
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC12876207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine