Individual
DR. CHESTER B WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
UNIVERSITY OF MINNESOTA PHYSICIANS, 516 DELAWARE STREET SE, ROOM 4-100, MINNEAPOLIS, MN 55455
(612) 626-6777
Mailing address
720 WASHINGTON AVE SE, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55414-2924
(612) 884-0649
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
26620
MN
208000000X
Pediatrics Physician
Primary
26620
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0055369
—
MT
05
—
0963116
—
IA
01
—
1009355
PREFERREDONE
—
01
—
100956
UCARE
—
01
—
1224617
MEDICA - CHOICE
—
01
—
1270277
MEDICA - PRIMARY
—
01
—
2T335WH
BLUE CROSS BLUE SHIELD
—
01
—
604688
ARAZ
—
05
—
711378100
—
MN
01
—
HP14681
HEALTHPARTNERS
—
Enumeration date
11/13/2006
Last updated
04/18/2012
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