Individual
DR. BRENT WILLIAM WHITED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2301 STEINDLER WAY STE B, NORTH LIBERTY, IA 52317-7907
(319) 338-3606
(319) 338-0522
Mailing address
2301 STEINDLER WAY STE B, NORTH LIBERTY, IA 52317-7907
(319) 338-3606
(319) 338-0522
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
39003
IA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
39003
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659428530
—
IA
01
—
I75560006
MEDICARE
IA
Enumeration date
01/04/2007
Last updated
03/28/2025
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