Organization · Type 2 NPI

John R. Whittaker, M.d., PLLC

Surgery Physician · Southfield, MI

NPI number 1114363108 Active

Practice location

20240 W 12 Mile Rd, Suite 3
Southfield, MI 48076-2426

Fax (248) 423-0905

Mailing address

6431 Bauervic Blvd
West Bloomfield, MI 48322-2237

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X4301039465 (MI)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1114363108

John R. Whittaker, M.d., PLLC's National Provider Identifier is 1114363108, issued on May 16, 2013. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Southfield, MI. The record was last updated on May 16, 2013.