Individual
BRETT S WHYTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
37083
WI
207P00000X
Emergency Medicine Physician
42290
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
320462600
—
MN
05
—
32193500
—
WI
01
—
97045WH
BLUE CROSS BLUE SHIELD MN
—
Enumeration date
08/07/2006
Last updated
04/02/2021
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