Organization
VASCULAR SURGERY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG STUART WALVATNE MD (PHYSICIAN)
(763) 427-8547
Entity
Organization
Contact information
Practice address
11855 ULYSSES ST NE STE 220, BLAINE, MN 55434-4181
(763) 427-8547
(763) 576-5394
Mailing address
11855 ULYSSES ST NE STE 220, BLAINE, MN 55434-4181
(763) 427-8547
(763) 576-5394
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
31967
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1778251
—
MN
Enumeration date
11/09/2007
Last updated
07/29/2025
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