Individual
DR. COURTNEY WADE WHITNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2700 CAMPUS DRIVE, SUITE 100, PLYMOUTH, MN 55441
(763) 519-0634
(763) 519-0636
Mailing address
2700 CAMPUS DRIVE, SUITE 100, PLYMOUTH, MN 55441
(763) 319-0634
(763) 519-0636
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
39456
MN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
39456
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376913000
—
MN
05
—
991942200
—
MN
01
—
HP27198
HEALTH PARTNERS
MN
Enumeration date
03/16/2006
Last updated
01/20/2012
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