Individual
BRANDT DAVID WHITEHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
747 N RUTLEDGE ST FL 2, SPRINGFIELD, IL 62702-6700
(217) 545-8000
(217) 545-7795
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-8000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036-141214
IL
2086S0102X
Surgical Critical Care Physician
Primary
036-141214
IL
Other
Enumeration date
06/18/2010
Last updated
01/29/2024
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