Individual
JAMES WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1751 MADISON AVE, COUNCIL BLUFFS, IA 51503-5246
(712) 328-8800
(712) 328-8461
Mailing address
PO BOX 642117, OMAHA, NE 68164-8117
(402) 717-4377
(402) 717-4317
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21255
IA
Other
Enumeration date
01/11/2007
Last updated
08/29/2007
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