Individual
EUGENE P WHITBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPA-C
Contact information
Practice address
501 S MAPLE ST, WACONIA, MN 55387-1715
(952) 442-2163
(952) 442-5903
Mailing address
6465 WAYZATA BLVD, SUITE 900, ST LOUIS PARK, MN 55426-1728
(952) 512-5600
(952) 512-5650
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HP49999
HEALTHPARTNERS
—
Enumeration date
08/15/2006
Last updated
07/11/2007
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