Individual
MARGARET MARY WHEALON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12601 W HAMPTON AVE, SUITE 100A, BUTLER, WI 53007-1705
(262) 373-1869
Mailing address
351 HAWTHORNE DR, FOND DU LAC, WI 54935-6123
(920) 251-1664
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3017-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36035000
—
WI
01
—
F0806006
AANP CERTIFICATE
WI
Enumeration date
12/12/2006
Last updated
07/05/2022
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