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Individual
PROF. WALTER THOMAS WENDA
Active
Individual
PROF. WALTER THOMAS WENDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
R-084696-3
MN
163WX0106X
Occupational Health Registered Nurse
R-084696-3
MN
Other
Enumeration date
08/10/2010
Last updated
01/12/2012
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