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Individual

DR. RUSSELL STAFFORD WHELAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD PHD

Contact information

Practice address
4800 SAND POINT WAY NE, OC.7.830, SEATTLE, WA 98105-3901
(206) 987-2525
Mailing address
4800 SAND POINT WAY NE, OC.7.830, SEATTLE, WA 98105-3901
(206) 987-2525

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ML60470215
WA
2080P0210X
Pediatric Nephrology Physician
Primary
DR.0068025
CO
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/02/2014
Last updated
04/25/2022
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