Individual
MARY WHITBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7600 FRANCE AVE S STE 1100, EDINA, MN 55435
(763) 545-7545
(952) 929-2067
Mailing address
7600 FRANCE AVE S STE 1100, EDINA, MN 55435-5936
(763) 545-7545
(952) 929-2067
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R0724807
MN
Other
Enumeration date
12/30/2005
Last updated
11/14/2018
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