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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