OrganizationActive
Michael W. Whitworth DO PC
NPI 1508074212 · MOHS-Micrographic Surgery Physician · Wyandotte, MI
Provider details
- NPI number
- 1508074212
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amanda Justice, Office Manager(734) 282-2500
- License
- 5101015449 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1500 Eureka Rd
Wyandotte, MI 48192-6103
Phone: (734) 282-2500
Fax: (734) 282-6397
Street-level locationGet directions
Mailing address
1500 Eureka Rd
Wyandotte, MI 48192-6103
Registry dates
- Enumerated
- 2007-05-18
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.