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Mr. Michael Edward Whalen
Student in an Organized Health Care Education/Training Program in Winslow, Arizona
NPI 1275074106

Michael Edward Whalen is a Student in an Organized Health Care Education/Training Program based in Charlotte, AZ. Michael Edward Whalen practices in Winslow, AZ. The NPI Number for Michael Edward Whalen is 1275074106 and holds a License No. (Arizona).

The current practice location address for Michael Edward Whalen is 500 Indiana Ave, Winslow, AZ and can be reached out via phone at 928-289-6116.

Location: 500 Indiana Ave, Winslow, AZ, 28226-2627
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275074106
Provider Name
Michael Edward Whalen
Credential
Provider Entity Type
Individual
Gender
Male
Address
500 Indiana Ave, Winslow, AZ, 28226-2627
Phone Number
928-289-6116
Fax Number
Provider Enumeration Date
03/11/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
500 Indiana Ave
City
Winslow
State
Arizona
Zip
86047-2169
Phone Number
928-289-6116
Fax Number
person
Provider Business Mailing Address Details
Address
500 Indiana Ave
City
Winslow
State
Arizona
Zip
86047-2169
Phone Number
928-289-6116
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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