Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

John R. Whittaker, MD, PLLC

Organization Surgery Physician · NPI 1114363108

John R. Whittaker, MD, PLLC is a Surgery Physician in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2013.

Licensed in
MI
In the registry since
2013
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20240 W 12 Mile Rd Ste 3
Southfield, MI 48076-2426
Phone: (248) 423-0903
Fax: (248) 423-0905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 4301039465 (MI)

Record details

NPI number1114363108
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Whittaker — President · (248) 423-0903
NPI enumeratedMay 16, 2013
Last updated in NPPESMay 16, 2013
Mailing address6431 Bauervic Blvd, West Bloomfield, MI 48322-2237

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