Gene Wayne Velasco in Crystal - Family Medicine

Gene Wayne Velasco - NPI 1043308158

Gene Wayne Velasco is a Family Medicine in Crystal, Minnesota. Gene Wayne Velasco practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Gene Wayne Velasco is 1043308158. The last update date is 2008-05-16.

Gene Wayne Velasco's current location address is 3501 Douglas Dr N, Crystal, Minnesota. You can contact this provider via phone number 7635359601 and fax number 7635355601. The mailing address for Gene Wayne Velasco is 3501 Douglas Dr N, Crystal, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Gene Wayne Velasco
Address 3501 Douglas Dr N, Crystal, Minnesota
Phone Number 7635359601
Fax Number 7635355601
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1043308158
Provider Enumeration Date 2006-10-11
Last Updated Date 2008-05-16

Provider Mailing Address Detail

Address 3501 Douglas Dr N
City Crystal
State Minnesota (MN)
Post Code 554222415
Phone Number 7635359601
Fax Number 7635355601

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 25120
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3694001 MN AETNA-SELECT CARE
73728 MN HEALTHPARTNERS
NA3760571003 MN PREFERREDONE
00M89VE MN BLUES
80003813 MN RAILROAD MEDICARE
767798700 MN --
HP88055 MN HEALTHPARTNERS
18252VE MN BCBS OF MN
1043308158 MN PREFERRED ONE
80174278 RAILROAD MEDICARE

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FAQs about Gene Wayne Velasco

What is the unique 10-digit identification code issued to Gene Wayne Velasco by the Centers for Medicare & Medicaid Services?

The Gene Wayne Velasco has been assigned the NPI (National Provider Identifier) 1043308158 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Gene Wayne Velasco's facilities are situated?

The facilities of Gene Wayne Velasco are physically located at the following address: 3501 Douglas Dr N, Crystal, MN, 554222415.

What is Gene Wayne Velasco's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Gene Wayne Velasco is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1043308158 to Gene Wayne Velasco?

The Centers for Medicare & Medicaid Services originally issued the 1043308158 to Gene Wayne Velasco on 2006-10-11.

When was the information regarding Gene Wayne Velasco most recently updated?

The details pertaining to the Gene Wayne Velasco, including its address, specialty, and other relevant information, were last refreshed on 2008-05-16.

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