Individual
JOHANNA B WHALEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1230 E RUSHOLME ST, STE 301, DAVENPORT, IA 52803-2400
(563) 322-9150
(563) 322-9148
Mailing address
865 LINCOLN RD, STE L10, BETTENDORF, IA 52722-4159
(563) 355-9191
(563) 355-3419
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
21524
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029185
HEALTH ALLIANCE
—
01
—
19970
IOWA HEALTH SOLUTIONS
—
01
—
40031
WELLMARK HEALTH PLAN
—
05
—
4009233
—
IA
01
—
4796890013
DMERC
—
01
—
IA0161
JOHN DEERE HEALTH PLAN
—
Enumeration date
06/24/2005
Last updated
07/09/2007
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