Individual
BRYSON WHALEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2246 S STATE ROUTE 157 STE 100, GLEN CARBON, IL 62034-1717
(618) 288-9251
(618) 288-6900
Mailing address
6810 STATE ROUTE 162, BOX 215, MARYVILLE, IL 62062
(618) 391-6495
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036.150352
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
04/15/2015
Last updated
08/28/2024
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