Individual
DR. MATTHEW GAIL WHITBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4040 COON RAPIDS BLVD NW STE 120, COON RAPIDS, MN 55433-4568
(763) 427-9980
(763) 236-8903
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
56452
MN
207RI0011X
Interventional Cardiology Physician
56452
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18174
—
ND
Enumeration date
05/17/2007
Last updated
04/29/2020
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