Individual
BRIAN LEE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
60003
MN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
60003
MN
Other
Enumeration date
03/24/2010
Last updated
08/13/2024
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