Individual
EUGENE D MEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
275 11TH ST S, WAHPETON, ND 58075-4655
(701) 642-2000
(701) 671-4106
Mailing address
275 11TH ST S, WAHPETON, ND 58075-4655
(701) 642-2000
(701) 671-4106
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
47985
MN
207V00000X
Obstetrics & Gynecology Physician
Primary
6079
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
063H8ME
MNBS #
ND
01
—
063H9ME
MNBS #
ND
01
—
0704470
MEDICA #
ND
01
—
0704719
MEDICA #
ND
05
—
11668
—
ND
01
—
140851
UCARE #
ND
01
—
25882
NDBS #
ND
01
—
26507
NDBS #
ND
01
—
26679
NDBS #
ND
01
—
322S6ME
MNBS #
ND
05
—
449007000
—
ND
01
—
44941
LHS #
ND
05
—
7714940
—
ND
01
—
DA9051029487
PREFERRED ONE #
ND
01
—
HP54455
HEALTHPARTNERS #
ND
Enumeration date
06/18/2006
Last updated
07/09/2007
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