Individual
BRENT WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
Mailing address
840S WOOD ST 920S, CHICAGO, IL 60612-4325
(312) 996-6730
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
67248
MN
Other
Enumeration date
04/16/2012
Last updated
08/17/2020
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