Doctor Name: | DR. CARY LYNN WHEELER |
NPI Number: | 1427366426 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | |
Business Practice Address: | 6 Tarman Dr Cloverdale, CA - 954253932 |
Business Phone Number: | 7078944229 |
Business Fax Number: | 7078942954 |
Mailing Address: | 100 W 3rd St, CLOVERDALE |
State: | CA |
Postal Code: | 954253204 |
Phone Number: | 7076691806 |
Fax Number: | 7078947820 |
NPI Enumeration Date: | 09/24/2010 |
NPI Last Update Date: | 07/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |