Individual
DR. WALTER LAWRENCE ATIGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8900
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101230479
VA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
0101230479
VA
207RC0001X
Clinical Cardiac Electrophysiology Physician
21961
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034616400
—
DC
05
—
143891301
—
MD
01
—
P00005815
RAILROAD MEDICARE VA
VA
01
—
P00005816
RAILROAD MEDICARE DC
DC
Enumeration date
06/01/2005
Last updated
02/04/2025
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