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Individual

MR. WAYNE LEE WHITNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BC-HIS

Contact information

Practice address
12830 COX LN, OSSEO, WI 54758-9004
(715) 597-2683
(715) 597-2683
Mailing address
12830 COX LN, PO BOX 367, OSSEO, WI 54758-9004
(715) 597-2683
(715) 597-2683

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
191
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42822400
WI
Enumeration date
09/05/2007
Last updated
09/05/2007
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