Individual
DONALD WALZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
308 HARVARD ST SE, 7-172 WEAVER-DENSFORD HALL, MINNEAPOLIS, MN 55455-0343
(612) 626-5158
Mailing address
17709 30TH ST NW, SOUTH HAVEN, MN 55382-4000
(320) 286-3043
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/09/2011
Last updated
04/09/2011
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