DR. Gene Wayne Velasco, MD

NPI #1043308158 in Crystal, Minnesota

Provider Information

NPI Number: 1043308158
Entity Type: Individual
Name: DR. Gene Wayne Velasco, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Oct 11, 2006
Last Updated: May 16, 2008

Practice Location

Address: 3501 DOUGLAS DR N
City: Crystal
State: Minnesota
ZIP Code: 55422-2415
Phone: (763) 535-9601

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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