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NPI Code Detail

MEDICARE: WILLIAM CURTIS WHISLER MD

MEDICARE:   WILLIAM CURTIS WHISLER  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician40838MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790768364
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM CURTIS WHISLER MD
Provider Business Mailing Address
First Line : 204 LEWIS AVE S
Second Line : STE 201
City : WATERTOWN
State : MN
Zip : 55388-4502
Country : US
Telephone Number : 952-442-7015
Fax Number : 952-442-7016
Provider Business Practice Location Address
First Line : 204 LEWIS AVE S
Second Line : SUITE 200
City : WATERTOWN
State : MN
Zip : 55388-4500
Country : US
Telephone Number : 952-955-1963
Fax Number : 952-955-1965
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2005
Last Update Date : 01/04/2019

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