Individual
GAYLE MARIE WHATLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 W CLARKSTON RD STE B, LAKE ORION, MI 48362-4101
(248) 814-8525
Mailing address
400 W CLARKSTON RD STE B, LAKE ORION, MI 48362-4101
(248) 814-8525
Taxonomy
Speciality
Code
Description
License number
State
246ZA2600X
Medical Art Specialist/Technologist
Primary
BA0000450
MI
Other
Enumeration date
04/15/2018
Last updated
04/15/2018
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