Individual
DAVID W WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
(616) 752-6751
Mailing address
PO BOX Q, GRAND RAPIDS, MI 49501-4917
(800) 968-6866
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301087452
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4873143
—
MI
01
—
DW087452
BLUE CROSS BLUE SHIELD
—
01
—
P00343931
RAILROAD MEDICARE
—
Enumeration date
06/12/2006
Last updated
03/04/2008
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