Individual
MR. CHRISTOPHER TERRENCE WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1575 BEAM AVE, MAPLEWOOD, MN 55109-1126
(651) 232-7348
Mailing address
800 E 28TH ST # MR 11112, MINNEAPOLIS, MN 55407-3723
(612) 863-6590
(612) 863-5247
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
52116
MN
207P00000X
Emergency Medicine Physician
A102370
CA
Other
Enumeration date
12/20/2007
Last updated
07/21/2022
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