| Doctor Name: | DR. SEAN PATRICK WHERRY |
| NPI Number: | 1407948458 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | |
| Business Practice Address: | 1360 Elm Street East Centracare Clinic St Joseph Family Medicine St Joseph, MN - 563744694 |
| Business Phone Number: | 3203637765 |
| Business Fax Number: | 3203630031 |
| Mailing Address: | 1360 Elm Street East, Centracare Clinic St Joseph Family Medicine ST JOSEPH |
| State: | MN |
| Postal Code: | 563744694 |
| Phone Number: | 3203637765 |
| Fax Number: | 3203630031 |
| NPI Enumeration Date: | 09/28/2006 |
| NPI Last Update Date: | 04/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171000000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Military Health Care Provider |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |