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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BRETT JOSEPH WAVERLY, D.P.M.

Active

DR. BRETT JOSEPH WAVERLY, D.P.M. is a Podiatrist healthcare provider located in MAPLE GROVE, Minnesota. NPI 1902241268 is currently active in the NPPES registry. Verify at CMS.

Podiatrist · MAPLE GROVE, MN

Registration Details

NPI Number
1902241268
Provider Type
Individual
Gender
Male
NPI Issued
May 1, 2013 (13.316114559626 yrs)
Last Updated
Sep 19, 2024
Licenses
1085-25 (WI)
DP201954 (OR)
016005725 (IL)
DP201954 (OR)
016005725 (IL)

Practice Information

Address
7840 VINEWOOD LN N
MAPLE GROVE, MN, 553697185
Browse MN providers · Browse ZIP 55369
Phone
7632360200
Primary Specialty
Podiatrist
213E00000X
Additional Specialty
Podiatrist
Additional Specialty
Podiatrist

Other Podiatrist Providers in MAPLE GROVE, MN

Name Credential NPI
TIMOTHY J MAHER D P M P A 1730109000
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.