NPI 1790700185

John Whalen, MD

Practitioner Nuclear Medicine Physician Bayside, WI

Practice location

Address: 500 W Brown Deer Rd Suite 202, Bayside, WI 53217-1618
Phone: (414) 434-0461

Registered specialties

Nuclear Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207U00000X Licence 21162 (WI)

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Registry record

NPI: 1790700185
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jul 2006
Record last updated: 29 May 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.