# DR. GWENDOLYN RUTH WHITLEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1679524193
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | 175868 | WI | — |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | 46430 | MN | — |
| 207Q00000X | Family Medicine Physician | 37585 | NC | Yes |

## Other

- **Enumeration date:** 05/12/2006
- **Last updated:** 07/13/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 175868 | WISCONSIN MEDICAL LICENSE | WI |
| 01 | — | 37685 | NC MEDICAL LICENSE NUMBER | NC |
| 01 | — | 46430 | MN MEDICAL LICENSE | MN |