Daniel L Whited (NPI# 1396896155, PAC ID# 9032010152) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1396896155 |
| PAC ID by PECOS | 9032010152 |
| Professional Enrollment ID | I20040120000704 |
| Full Name | Daniel L Whited |
| Address |
12131 Elm Creek Blvd N Maple Grove MN 55369-7093 |
| Gender | M |
| Credential | OD |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 1997 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 12131 Elm Creek Blvd N, Maple Grove, MN 55369-7093 |
| Street Address |
12131 ELM CREEK BLVD N |
| City | MAPLE GROVE |
| State | MN |
| Zip | 55369-7093 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heidi J Hill | Qualified Audiologist | 512 Central Ave, Osseo, MN 55369-1129 | |
| Kristin Lori Kipka | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Mancel T Mitchell Iii | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Moushumi Meher | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Jennifer M Berger | Physician Assistant | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Neil P Jeddeloh | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Paul A Ruth | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Darrell A Krieger | Internal Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Kevin Raff | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Vandana Gupta | Internal Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Find all physicians in zip 55369 | |||
| City | MAPLE GROVE |
| Zip Code | 55369 |
| Specialty | OPTOMETRY |
| City + Specialty | MAPLE GROVE + OPTOMETRY |
Please comment or provide details below to improve the information on Daniel L Whited.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.