Individual
MITCHELL WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
731 CLAY ST, DARLINGTON, WI 53530-1225
(608) 776-4497
Mailing address
800 CLAY ST, DARLINGTON, WI 53530-1228
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
235849-30
WI
363LF0000X
Family Nurse Practitioner
Primary
14287-33
WI
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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