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Individual
MR. MICHAEL J WHALEN
Active
Individual
MR. MICHAEL J WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001184
IA
363A00000X
Physician Assistant
Primary
556
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38528
BCBS OF NEBRASKA
NE
01
—
P00418185
MEDICARE RAILROAD
IA
Enumeration date
07/31/2006
Last updated
03/12/2008
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