Individual
DR. CAROLYN M WHATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 E MICHIGAN AVE, STE 530, LANSING, MI 48912-1800
(517) 364-5880
(517) 364-5887
Mailing address
PO BOX 13008, LANSING, MI 48901-3008
(517) 364-6253
(517) 364-6204
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301082788
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103311021
BCBS INDIVIDUAL PIN
MI
05
—
4609384
—
MI
05
—
4922730
—
MI
Enumeration date
09/14/2006
Last updated
12/27/2022
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