Individual provider · NPI-1

Daniel Whaley, R.T. (R) (MR)

Radiologic Technologist, Magnetic Resonance Imaging · Detroit, MI

NPI number1720460835
StatusActive
Last updated in NPPESJun 25, 2015

Details

NPI
1720460835
Entity type
Individual (NPI-1)
Name
Daniel Whaley
Credential
R.T. (R) (MR)
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 25, 2015
Last updated
Jun 25, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2471M1202X Radiologic Technologist, Magnetic Resonance Imaging––Yes

Practice location

2799 W Grand Blvd
Detroit, MI 48202-2608

Phone 313-916-7615

Mailing address

21417 Danbury
Woodhaven, MI 48183

Phone 734-552-9133

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