Individual
JON E WALSER-KUNTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LP
Contact information
Practice address
501 NEVADA ST, NORTHFIELD, MN 55057-2302
(507) 301-8625
(507) 664-0766
Mailing address
501 NEVADA ST, NORTHFIELD, MN 55057-2302
(507) 301-8625
(507) 664-0766
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3899
MN
Other
Enumeration date
05/31/2006
Last updated
07/08/2007
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