Individual
DR. MICHAEL N WHISENANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2315 8TH ST GRADE, LEWISTON, ID 83501-7301
(208) 746-1383
(208) 298-0727
Mailing address
122 W 7TH AVE, 450, SPOKANE, WA 99204-2349
(509) 455-8820
(509) 838-4978
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
M-9628
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807466400
—
ID
05
—
8454886
—
WA
01
—
P00316149
RRB
WA
Enumeration date
05/28/2006
Last updated
10/05/2011
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