Individual
MR. GARY DAVID WEBSKOWSKI
Active
Individual
MR. GARY DAVID WEBSKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
6090
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059G6WE
BCBS
—
01
—
104667
UCARE
—
01
—
138399200
ACS PROV
—
01
—
30701054
PRIMWEST BILLING
—
01
—
411239729
FEDERAL TAX
—
01
—
6090
MN STATE LICENSE
—
01
—
6404578
MEDICA
—
01
—
6576528
AOA ST TAX
—
01
—
989211040352
PREFERRED ONE
—
01
—
HP40440
HEALTH PARTNERS
—
01
—
P00082826
TRAVELERS MEDICARE
—
Enumeration date
03/15/2006
Last updated
01/02/2013
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