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Individual

CHRISTOPHER R WALLYN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1455 MONTREAL ST SE, HUTCHINSON, MN 55350-0699
(320) 587-6308
(866) 203-6862
Mailing address
PO BOX 699, HUTCHINSON, MN 55350-0699
(320) 587-6308
(866) 203-6862

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
33266
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
719700400
MN
Enumeration date
01/17/2006
Last updated
03/15/2016
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