Courtney Wade Whitney D.O.

NPI 1861461329 - Internal Medicine - 207R00000X

NPI Details
NPI 1861461329
Gender Male
Enumeration Date 03/16/2006
Last Updated 01/20/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
2700 CAMPUS DRIVE
SUITE 100
PLYMOUTH MN, 55441, US
Phone (763) 519-0634
Fax (763) 519-0636
Business Location
2700 CAMPUS DRIVE
SUITE 100
PLYMOUTH MN, 55441, US
Phone (763) 319-0634
Fax (763) 519-0636
Toxanomy
Taxonomy Code 207R00000X
License State Minnesota
License Number 39456
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According to our database, Dr. Courtney Wade Whitney D.O. NPI is 1861461329, taxonomy code is 207R00000X and license number is 39456, license state is located at Minnesota. Courtney Wade Whitney D.O. physically located at 2700 Campus Drive, Plymouth MN, 55441. NPI Number Courtney Wade Whitney D.O. has the Individual type.

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1861461329 NPI number is provided on an as is basis without warranty of any kind. 1861461329 is maintained by the National Plan & Provider Enumeration System. The contents of Courtney Wade Whitney D.O. are for informational purposes only.