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Individual

GREGORY B WEBSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8450 SEASONS PKWY, WOODBURY, MN 55125-4402
(651) 702-5300
(651) 702-5305
Mailing address
8170 33RD AVE S, BLOOMINGTON, MN 55425-4516

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
36759
MN
207W00000X
Ophthalmology Physician
42285
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
194027900
MN
Enumeration date
01/31/2006
Last updated
11/16/2021
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