Individual
DR. LUKE E. WALN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
25477 MAIN ST, NISSWA SMILES, NISSWA, MN 56468-5001
(218) 963-6330
(218) 963-6332
Mailing address
25477 MAIN ST, P.O BOX 454, NISSWA, MN 56468-5001
(218) 963-6330
(218) 963-6332
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11842
MN
Other
Enumeration date
11/21/2005
Last updated
01/27/2022
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