Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. COURTNEY WADE WHITNEY, D.O.
ActiveDR. COURTNEY WADE WHITNEY, D.O. is a Sports Medicine (IM) healthcare provider located in PLYMOUTH, Minnesota. NPI 1861461329 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (IM) · PLYMOUTH, MN
Registration Details
- NPI Number
- 1861461329
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 16, 2006 (20.416170858723 yrs)
- Last Updated
- Jan 20, 2012
- Licenses
-
39456 (MN)39456 (MN)
Practice Information
- Address
-
2700 CAMPUS DRIVESUITE 100PLYMOUTH, MN, 55441Browse MN providers · Browse ZIP 55441
- Phone
- 7635190634
- Fax
- 7635190636
- Primary Specialty
-
Sports Medicine (IM)
207RS0012X
- Additional Specialty
- Sports Medicine (IM)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.