Individual
DR. DANIEL E WALLERSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1011 E 1ST ST, DULUTH, MN 55805-2242
(218) 249-6980
Mailing address
1011 E 1ST ST, DULUTH, MN 55805-2242
(218) 249-6980
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
29721
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
492577700
—
MN
Enumeration date
05/13/2006
Last updated
03/08/2017
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