Individual provider · Type 1 NPI
Theresa M. Whalen, PAC
Surgical Physician Assistant · Pontiac, MI
NPI number
1831218734
Active
Practice location
44405 Woodward
Pontiac, MI 48431
Mailing address
38840 Equestrian S, #48102
Farmington Hills, MI 48331-4930
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 5601002763 (MI) |
Surgical Physician Assistant: Definition to come...
Other surgical physician assistant providers in Pontiac
About NPI 1831218734
Theresa M. Whalen, PAC's National Provider Identifier is 1831218734, issued on Mar 29, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Pontiac, MI. The record was last updated on Jul 8, 2007.