Individual
MICHAEL J. WALZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
410 CHURCH ST SE, MINNEAPOLIS, MN 55455-0222
(612) 625-8400
(612) 625-1434
Mailing address
410 CHURCH ST SE, MINNEAPOLIS, MN 55455-0222
(612) 625-8400
(612) 625-1434
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
29431
MN
207Q00000X
Family Medicine Physician
Primary
29431
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
922382700
—
MN
Enumeration date
03/10/2006
Last updated
06/11/2024
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