Individual
DR. GENE WAYNE VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3501 DOUGLAS DR N, CRYSTAL, MN 55422-2415
(763) 535-9601
(763) 535-5601
Mailing address
3501 DOUGLAS DR N, CRYSTAL, MN 55422-2415
(763) 535-9601
(763) 535-5601
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25120
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00M89VE
BLUES
MN
01
—
0102067
MEDICA
MN
01
—
080003813
RAILROAD MEDICARE
MN
01
—
080174278
RAILROAD MEDICARE
—
01
—
1043308158
PREFERRED ONE
MN
01
—
112118P495
UCARE MINNESOTA
MN
01
—
18252VE
BCBS OF MN
MN
01
—
3694001
AETNA-SELECT CARE
MN
01
—
73728
HEALTHPARTNERS
MN
01
—
767798700
MHP
MN
05
—
767798700
—
MN
01
—
HP88055
HEALTHPARTNERS
MN
01
—
NA3760571003
PREFERREDONE
MN
Enumeration date
10/11/2006
Last updated
05/16/2008
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