Individual
BRIAN LEE WHITED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1116 MILL ST W, CANNON FALLS, MN 55009-1824
(507) 293-3951
Mailing address
1116 MILL ST W, CANNON FALLS, MN 55009-1824
(507) 263-3951
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35878
MN
Other
Enumeration date
03/29/2006
Last updated
11/15/2024
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