Individual
JOHN WALSEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2505 MINNESOTA AVE NW APT 3, BEMIDJI, MN 56601-2474
(315) 804-7047
Mailing address
2505 MINNESOTA AVE NW APT 3, BEMIDJI, MN 56601-2474
(315) 804-7047
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
492633
MN
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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