IndividualActive
Michael Whitworth, D.O.
NPI 1184749517 · MOHS-Micrographic Surgery Physician · Wyandotte, MI
Provider details
- NPI number
- 1184749517
- Entity type
- Individual
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5315028187 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1500 Eureka Rd
Wyandotte, MI 48192-6103
Phone: (734) 282-2500
Fax: (734) 282-6397
Approximate (ZIP-level) locationGet directions
Mailing address
1500 Eureka Rd
Wyandotte, MI 48192-6103
Registry dates
- Enumerated
- 2007-03-21
- Last updated
- 2014-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.