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Individual

DONALD E WALTER

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
(701) 323-5709
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R28832
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
12575
ND
Enumeration date
10/04/2006
Last updated
07/16/2024
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