Michelle Marie Wueste, M.D.

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

A90199 Issued in CA

Practice address

55 N Wolfe Ave BLDG 3925
Edwards AFB, CA 93524-6201

Phone

(661) 277-2573

NPI assigned

Oct 4, 2005

Last updated

Mar 3, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1902893084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 N WOLFE AVE BLDG 3925",
            "city": "EDWARDS AFB",
            "state": "CA",
            "postal_code": "935246201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 N WOLFE AVE BLDG 3925",
            "city": "EDWARDS AFB",
            "state": "CA",
            "postal_code": "935246201",
            "telephone_number": "661-277-2573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7050 Air Depot Blvd",
            "address_purpose": "LOCATION",
            "city": "Tinker AFB",
            "state": "OK",
            "postal_code": "731458716",
            "country_code": "US",
            "telephone_number": "405-582-6804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WUESTE",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A90199",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "A90199",
            "primary": true
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Usaf 95Mdos
• Moises Velasco, IDMT
• Andrew Warren, DO
• Jason Michael Webb, M.D.
• Chad Tyler Winn, DPT

• Occupational Medicine Physician in Edwards AFB, CA
• Providers in Edwards AFB, CA by specialty
• Occupational Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.