William Revelle Phipps M.D.

NPI 1053348979 - Obstetrics & Gynecology - 207VE0102X

NPI Details
NPI 1053348979
Gender Male
Enumeration Date 06/27/2006
Last Updated 02/15/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
606 24TH AVE S
RIVERSIDE PROFESSIONAL BUILDING, SUITE 500
MINNEAPOLIS MN, 55454-1455, US
Phone (612) 372-7010
Fax (612) 372-7041
Business Location
606 24TH AVE S
RIVERSIDE PROFESSIONAL BUILDING, SUITE 500
MINNEAPOLIS MN, 55454-1455, US
Phone (612) 372-7010
Fax (612) 372-7041
Toxanomy
Taxonomy Code 207VE0102X
License State Minnesota
License Number 30296
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According to our database, Dr. William Revelle Phipps M.D. NPI is 1053348979, taxonomy code is 207VE0102X and license number is 30296, license state is located at Minnesota. William Revelle Phipps M.D. physically located at 606 24th Ave S, Minneapolis MN, 55454-1455. NPI Number William Revelle Phipps M.D. has the Individual type.

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1053348979 NPI number is provided on an as is basis without warranty of any kind. 1053348979 is maintained by the National Plan & Provider Enumeration System. The contents of William Revelle Phipps M.D. are for informational purposes only.