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Search › Minnesota › 101YA0400X

Edward Whittaker, LADC

NPI 1437405750 · on the registry since 2012

Practice

Address
8015 36th Ave N Apt 217
New Hope, MN 55427
Phone
(612) 636-0801
Organisation at this address
Tj Home Services
Tj Health Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-07-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota