Organization
WHITNEY SLEEP DIAGNOSTICS & CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COURTNEY WADE WHITNEY D.O. (PRESIDENT)
(763) 519-0634
Entity
Organization
Contact information
Practice address
714 WASHINGTON AVE, DETROIT LAKES, MN 56501-3012
(218) 844-6150
(763) 201-5545
Mailing address
119 GRAYSTONE PLZ, SUITE 102, DETROIT LAKES, MN 56501-3034
(218) 844-6150
(763) 201-5545
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932354701
—
MN
Enumeration date
11/20/2008
Last updated
10/14/2014
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