Thaddeus C Whiting, DO Valid NPI

Individual provider · Family Medicine Physician · Portage, WI

NPI

1497792113

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

49668 (WI)

Sex

Male

Sole proprietor

No

Enumerated

2006-06-01

Last updated

2021-12-06