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Individual

PAUL MICHAEL WHITNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
10 E WASHINGTON ST, PAINESVILLE, OH 44077-3460
(440) 354-2400
Mailing address
PO BOX 39413, CLEVELAND, OH 44139-0413
(440) 523-5023
(440) 523-5029

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
35-00-6735
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2066366
OH
Enumeration date
06/27/2005
Last updated
07/08/2007
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