Individual
DR. DOUGLAS M WHELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
790 14TH AVE, LONGVIEW, WA 98632
(360) 423-2450
(360) 425-4969
Mailing address
790 14TH AVE, LONGVIEW, WA 98632
(360) 423-2450
(360) 425-4969
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD00026709
WA
207V00000X
Obstetrics & Gynecology Physician
Primary
26709
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1150119
—
WA
Enumeration date
06/14/2006
Last updated
08/17/2010
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