Individual
DR. BRENT G WHITTAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
4301088448
MI
208000000X
Pediatrics Physician
Primary
4301088448
MI
2080P0203X
Pediatric Critical Care Medicine Physician
4301088448
MI
Other
Enumeration date
05/14/2007
Last updated
06/04/2025
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