Individual
NATHAN GEORGE BUTLER WAIBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7701 YORK AVE S STE 300, EDINA, MN 55435-5864
(952) 926-6489
(952) 926-6501
Mailing address
7701 YORK AVE S, STE 300, EDINA, MN 55435-5864
(952) 915-5261
(952) 926-6501
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
54310
MN
207QS0010X
Sports Medicine (Family Medicine) Physician
54310
MN
Other
Enumeration date
04/20/2010
Last updated
09/20/2021
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