MR. William T Whalen IV, C.O.

NPI #1689091316 in Kenosha, Wisconsin

Provider Information

NPI Number
1689091316
Entity Type
Individual
Name
MR. William T Whalen IV, C.O.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Prosthetic/Orthotic Supplier
Credential
C.O.
Enumeration Date
Mar 19, 2014
Last Updated
Mar 19, 2014

Practice Location

Address
5027 GREEN BAY RD
Address 2
SUITE 124
ZIP Code
53144-1771
Phone
(262) 654-4300

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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