Individual
CHRISTINE SUZANNE GOUDGE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15800 95TH AVE N, PARK NICOLLET - DEPT OF OB/GYN, MAPLE GROVE, MN 55369-4400
(952) 993-3282
Mailing address
15800 95TH AVE N, PARK NICOLLET - DEPT OF OB/GYN, MAPLE GROVE, MN 55369-4400
(952) 993-3282
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
16950
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34793800
—
WI
05
—
712452000
—
MN
Enumeration date
01/29/2007
Last updated
03/01/2012
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