Individual
MARK W WHITMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BURDICK EXPY W, MINOT, ND 58701-4406
(701) 857-5220
(701) 857-5245
Mailing address
PO BOX 5010, MINOT, ND 58702-5010
(701) 857-5650
(701) 857-5031
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4765
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14293
—
ND
Enumeration date
11/21/2006
Last updated
07/08/2007
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