Individual
ROBERT GLENN WALZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
300 N 7TH ST, BISMARCK, ND 58501-4439
(701) 323-6000
Mailing address
PO BOX 2010, FARGO, ND 58122-2484
(701) 323-6000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R31963
ND
Other
Enumeration date
12/24/2015
Last updated
12/24/2015
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