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

Michael W. Whitworth DO PC

Organization MOHS-Micrographic Surgery Physician · NPI 1508074212

Michael W. Whitworth DO PC is an MOHS-Micrographic Surgery Physician in Wyandotte, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1500 Eureka Rd
Wyandotte, MI 48192-6103
Phone: (734) 282-2500
Fax: (734) 282-6397
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 5101015449 (MI)

Record details

NPI number1508074212
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Justice — Office Manager · (734) 282-2500
NPI enumeratedMay 18, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1500 Eureka Rd, Wyandotte, MI 48192-6103

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