Mitchell Whalen, | |
731 Clay St, Darlington, WI 53530-1225 | |
(608) 776-4497 | |
Not Available |
Full Name | Mitchell Whalen |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 731 Clay St, Darlington, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992486336 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 235849-30 (Wisconsin) | Secondary |
363LF0000X | Nurse Practitioner - Family | 14287-33 (Wisconsin) | Primary |
Entity Name | The Monroe Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386720548 PECOS PAC ID: 3072425495 Enrollment ID: O20031104000392 |
Entity Name | Lafayette County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114987054 PECOS PAC ID: 9436054772 Enrollment ID: O20031201000476 |
Entity Name | Lafayette County |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1114987054 PECOS PAC ID: 9436054772 Enrollment ID: O20061104000561 |
Entity Name | Lafayette County |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1689787954 PECOS PAC ID: 9436054772 Enrollment ID: O20120104000753 |
Mailing Address | Practice Location Address |
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Mitchell Whalen, 800 Clay St, Darlington, WI 53530-1228 Ph: () - | Mitchell Whalen, 731 Clay St, Darlington, WI 53530-1225 Ph: (608) 776-4497 |
Dana Beth Gruenenfelder, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 731 Clay St, Darlington, WI 53530 Phone: 608-776-2444 Fax: 608-776-2837 |