Individual
MR. GARY DAVID WEBSKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
8100 NORTHLAND DR, BLOOMINGTON, MN 55431-4800
(952) 806-5619
(952) 806-5510
Mailing address
8100 NORTHLAND DR, BLOOMINGTON, MN 55431-4800
(952) 806-5619
(952) 806-5510
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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