Whiting, David W

Whiting, David W is an individual health care provider with primary practice located at 6099 Wayzata Blvd Ste 100-120 , St Louis Park MN 55416-5538. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Whiting, David W can be contacted via phone (952) 204-5060.

Contact Information

Primary practice address
6099 Wayzata Blvd Ste 100-120 St Louis Park MN 55416-5538
Phone: (952) 204-5060
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 30337 Minnesota

Profile Details

NPI number 1003836479
LBN Legal business name Whiting, David W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jan 12th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003836479 NPPES
Minnesota MEDICAID 146393400

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