Individual
JOHN EMMETT WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
19607
IA
207RN0300X
Nephrology Physician
42286 02
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1122291
—
IA
05
—
30409100
—
WI
Enumeration date
03/27/2006
Last updated
03/23/2021
Update your record
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