IndividualActive
A Whitehead, MD
NPI 1790751261 · Ophthalmology Physician · Janesville, WI
Provider details
- NPI number
- 1790751261
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 47003 (WI)
Practice location
3524 E Milwaukee St
Janesville, WI 53546-1626
Phone: (608) 756-7100
Fax: (608) 756-4700
Mailing address
3524 E Milwaukee St
Janesville, WI 53546-1626
Registry dates
- Enumerated
- 2006-02-24
- Last updated
- 2012-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.