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Individual

DR. RENEE CARON WHELAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
75 LEIGHTON RD, FALMOUTH, ME 04105-2207
(207) 797-2990
(207) 772-2097
Mailing address
75 LEIGHTON RD, FALMOUTH, ME 04105-2207
(207) 797-2990
(207) 797-0990

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT706
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
039584
ANTHEM/BCIBS
ME
05
130300000
ME
01
3130625
ATENA
ME
Enumeration date
12/02/2005
Last updated
09/30/2008
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