Individual
ROBERT J WALKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
7373 FRANCE AVE S, 202 CENTENNIAL LAKES MEDICAL CENTER, EDINA, MN 55435-4534
(952) 985-8100
(952) 985-8199
Mailing address
7801 E BUSH LAKE RD, SUITE 300, BLOOMINGTON, MN 55439-3120
(952) 985-8911
(952) 985-8999
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9156
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069319700
—
MN
Enumeration date
08/15/2005
Last updated
03/11/2021
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