IndividualActive
Eugene Whitbeck, OPA-C
NPI 1568575728 · Surgical Physician Assistant · Waconia, MN
Provider details
- NPI number
- 1568575728
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- OPA-C
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
501 S Maple St
Waconia, MN 55387-1715
Phone: (952) 442-2163
Fax: (952) 442-5903
Approximate (ZIP-level) locationGet directions
Mailing address
6465 Wayzata Blvd
St Louis Park, MN 55426-1728
Registry dates
- Enumerated
- 2006-08-15
- Last updated
- 2007-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.