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Organization
WALKER METHODIST HEALTH CENTER, INC.
Active
Organization
WALKER METHODIST HEALTH CENTER, INC.
Active
Other names
Walker Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD WILLETT CPA (CFO)
(612) 827-8382
Entity
Organization
Contact information
Practice address
3737 BRYANT AVE S, MINNEAPOLIS, MN 55409-1019
(612) 827-5931
(612) 827-8458
Mailing address
3737 BRYANT AVE S, MINNEAPOLIS, MN 55409-1019
(612) 827-5931
(612) 827-8458
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202742900
—
MN
Enumeration date
04/30/2007
Last updated
01/25/2016
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