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DR. GENE WAYNE VELASCO MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1043308158

Individual Registrant:
DR. GENE WAYNE VELASCO MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
3501 DOUGLAS DR N  CRYSTAL, MN 55422-2415 US
Tel: 763-535-9601  Fax: 763-535-5601

Contact information for business:
3501 DOUGLAS DR N  CRYSTAL, MN 55422-2415 US
Tel: 763-535-9601  Fax: 763-535-5601

Registration Information:
NPI: 1043308158
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
MN25120

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MEDICA1043308158MN01
BLUES00M89VEMN01
PREFERRED ONE1043308158MN01
BCBS OF MN18252VEMN01
HEALTHPARTNERSHP88055MN01
RAILROAD MEDICARE080003813MN01
UCARE MINNESOTA112118P495MN01
HEALTHPARTNERS73728MN01
AETNA-SELECT CARE3694001MN01
PREFERREDONENA3760571003MN01
MEDICA0102067MN01
RAILROAD MEDICARE08017427801
MHP767798700MN01
767798700MN05




HEALTH CARE JOBS MN - Page 1



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