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Organization

WHITNEY SLEEP DIAGNOSTICS & CONSULTANTS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. COURTNEY WADE WHITNEY D.O. (PHYSICIAN/PRESIDENT)
(218) 844-6150
Entity
Organization

Contact information

Practice address
712 WASHINGTON AVE, DETROIT LAKES, MN 56501-3012
(218) 844-6150
(763) 201-5545
Mailing address
119 GRAYSTONE PLZ, SUITE 102, DETROIT LAKES, MN 56501-3034
(218) 844-6150
(763) 201-5545

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
39456
MN

Other

Enumeration date
02/20/2009
Last updated
02/21/2013
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