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Individual

DR. MICHAEL JON WALKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1515 SAINT FRANCIS AVE, #100, SHAKOPEE, MN 55379-3387
(952) 403-3535
(952) 403-3599
Mailing address
100 2ND ST NE, #580, MINNEAPOLIS, MN 55413-2417
(612) 804-6061
(612) 395-5595

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
39710
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32369500
WI
Enumeration date
01/20/2006
Last updated
07/08/2007
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