Individual
DR. SARAH PHELPS WHITTAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
2221 FORD PARKWAY, SUITE #350, SAINT PAUL, MN 55116-3837
(651) 698-8879
(651) 698-7243
Mailing address
2270 FORD PKWY STE 104, SAINT PAUL, MN 55116-3412
(651) 698-8879
(651) 698-7243
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
830
MN
213E00000X
Podiatrist
969-025
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0732240001
DMERC W/ PREFERRED PODIATRY GROUP
—
05
—
1154566396
—
WI
Enumeration date
12/02/2008
Last updated
05/20/2024
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