Individual
TIMOTHY PATRICK WHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
(843) 792-1729
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
46312
MN
207RP1001X
Pulmonary Disease Physician
Primary
TL 32438
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0064770
—
MT
05
—
0569293
—
IA
01
—
1034609
PREFERREDONE
MN
05
—
10387
—
ND
01
—
171900
UCARE
MN
01
—
1936677
ARAZ
MN
05
—
34428700
—
WI
01
—
48-00306
MEDICA - PRIMARY
MN
01
—
48-00307
MEDICA - CHOICE
MN
05
—
514140100
—
MN
01
—
637140
FAIRVIEW
MN
05
—
7777470
—
SD
01
—
HP40916
HEALTHPARTNERS
MN
Enumeration date
10/02/2006
Last updated
07/30/2010
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