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1831218734
THERESA M WHALEN
PONTIAC, MI
NPI
1831218734
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: MI 5601002763)
Enumeration Date
2007-03-29
Last Update Date
2007-07-08
Business Address
-- THERESA M WHALEN PAC
44405 WOODWARD
PONTIAC, MI 48431
Phone number: 248-858-3000
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Mailing Address
-- THERESA M WHALEN PAC
38840 EQUESTRIAN S #48102
FARMINGTON HILLS, MI 48331-4930
Phone number: 734-652-0808
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