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Individual

DR. MICHAEL L WHALEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
22 PINE STREET, SUITE 304, BRISTOL, CT 06010
(860) 582-3235
(860) 582-0692
Mailing address
22 PINE STREET, SUITE 304, BRISTOL, CT 06010
(860) 582-3235
(860) 582-0692

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
025227
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001252279
CT
Enumeration date
06/11/2006
Last updated
12/13/2012
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