Individual
EMILY VON WALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 1ST DR NW, AUSTIN, MN 55912-2941
(507) 433-5735
Mailing address
1000 1ST DR NW, AUSTIN, MN 55912-2941
(507) 433-5735
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14187
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2021
Last updated
09/08/2022
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