Individual
TODD W. WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, CRNA
Contact information
Practice address
17189 CO 27 BLVD, PINE ISLAND, MN 55963
(507) 356-8323
Mailing address
17189 CO 27 BLVD, PINE ISLAND, MN 55963
(507) 261-3391
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R1141722
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
58
MN
Other
Enumeration date
02/28/2006
Last updated
12/12/2023
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