Individual
CYNTHIA LYNN WALLENTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
239 GARDEN CITY DR, CRANSTON, RI 02920-8215
(952) 595-1100
(612) 294-4903
Mailing address
11995 SINGLETREE LN, STE 500, EDEN PRAIRIE, MN 55344-5347
(952) 595-1301
(612) 294-4903
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036151485
IL
2085R0202X
Diagnostic Radiology Physician
2020040857
MO
2085R0202X
Diagnostic Radiology Physician
Primary
MD15146
RI
Other
Enumeration date
09/01/2009
Last updated
06/03/2025
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