Individual
DR. CHESTER B WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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