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Individual

DR. NANCY WEAVER WEBSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
11850 BLACKFOOT ST NW STE 300, COON RAPIDS, MN 55433-2772
(763) 236-9236
Mailing address
11850 BLACKFOOT ST NW STE 300, COON RAPIDS, MN 55433-2772
(763) 236-9236

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
49630
MN
207VG0400X
Gynecology Physician
49630
MN
207VX0000X
Obstetrics Physician
49630
MN

Other

Enumeration date
05/21/2007
Last updated
11/10/2020
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