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Individual

DR. MARK J. WHALEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2525 COURT DR, GASTONIA, NC 28054-2140
(704) 834-2851
(704) 834-2815
Mailing address
4007 WILD NURSERY CT, CHARLOTTE, NC 28215-5345
(704) 616-7387
(704) 834-2815

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
95-01148
NC

Other

Enumeration date
07/26/2005
Last updated
01/03/2012
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