Individual
NICHOLAS JOHN WHALEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4301 WILSON ST, FORT SILL, OK 73503-4472
(833) 286-3732
Mailing address
4301 WILSON ST, FORT SILL, OK 73503-4472
(833) 286-3732
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2469
NE
Other
Enumeration date
04/28/2020
Last updated
08/07/2023
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