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Contact Information

CHESTER B WHITLEY, MD
UNIVERSITY OF MINNESOTA PHYSICIANS
516 DELAWARE STREET SE, ROOM 4-100
MINNEAPOLIS, MN55455
 Phone: 612-626-6777
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Clinical Genetics (M.D.)

207SG0201X
Indicates primary specialty

NPI Profile & details for CHESTER B WHITLEY · (Male)

NPI # 1588735005
Status Active
Credentials MD
Entity Individual
Enumeration date 11/13/2006
Last updated 04/18/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 26620
  • IA Medicaid 0963116
  • MN Medicaid 711378100
  • MT Medicaid 0055369
  • Other 604688 ARAZ
  • Other 2T335WH BLUE CROSS BLUE SHIELD
  • Other HP14681 HEALTHPARTNERS
  • Other 1224617 MEDICA - CHOICE
  • Other 1270277 MEDICA - PRIMARY
  • Other 1009355 PREFERREDONE
  • Other 100956 UCARE
Hospital affiliation(s)
  • UNIVERSITY OF MINNESOTA MEDICAL CENTER FAIRVIEW - (Acute Care)
    2450 RIVERSIDE AVENUE
    MINNEAPOLIS, MN 55454
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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