WILLIAM T WHALEN

KENOSHA, WI
NPI1689091316
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy335E00000X Prosthetic/Orthotic Supplier
(Licence: IL  213000315)
Enumeration Date2014-03-19
Last Update Date2014-03-19
Business Address
Mr. WILLIAM T WHALEN C.O.
5027 GREEN BAY RD SUITE 124
KENOSHA, WI 53144-1771
Phone number: 262-654-4300
Mailing Address
Mr. WILLIAM T WHALEN C.O.
5027 GREEN BAY RD SUITE 124
KENOSHA, WI 53144-1771
Phone number: 262-654-4300