Provider Demographics
NPI:1790768364
Name:WHISLER, WILLIAM CURTIS (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:CURTIS
Last Name:WHISLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 LEWIS AVE S
Mailing Address - Street 2:STE 201
Mailing Address - City:WATERTOWN
Mailing Address - State:MN
Mailing Address - Zip Code:55388-4502
Mailing Address - Country:US
Mailing Address - Phone:952-442-7015
Mailing Address - Fax:952-442-7016
Practice Address - Street 1:204 LEWIS AVE S
Practice Address - Street 2:SUITE 200
Practice Address - City:WATERTOWN
Practice Address - State:MN
Practice Address - Zip Code:55388-4500
Practice Address - Country:US
Practice Address - Phone:952-955-1963
Practice Address - Fax:952-955-1965
Is Sole Proprietor?:No
Enumeration Date:2005-11-28
Last Update Date:2019-01-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN40838207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN386319100Medicaid
MNG78904Medicare UPIN
MN386319100Medicaid