Michael Bade Wheeler, M.D.

Individual provider Active NPI Hematology & Oncology Physician · Merton, WI

NPI 1811250426 · NPPES record last updated Jun 19, 2012

Key facts

NPI
1811250426
Entity type
Individual (NPI type 1)
Primary specialty
Hematology & Oncology Physician 207RH0003X
License
32824-020 (WI)
Practice address
28391 Essential Road
Merton, WI 53056-0012
Phone
(262) 538-1122
NPI assigned
Jun 19, 2012
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32824-020WIMDHematology & Oncology Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 32824-020 WI Yes

Addresses

Primary practice location

28391 Essential Road
Merton, WI 53056-0012

Mailing address

28391 Essential Road
Merton, WI 53056-0012
Phone (262) 538-1122

Other providers in Merton, WI

All providers in Merton, WI · Hematology & Oncology Physician in Wisconsin

Sources for this page

Verify at the official NPI Registry.