Individual
JOEL WALGENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2700 SNELLING AVE N, SUITE 400, ROSEVILLE, MN 55113-1719
(651) 697-5863
Mailing address
2700 SNELLING AVE N, SUITE 400, ROSEVILLE, MN 55113-1719
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R165974-8
MN
Other
Enumeration date
09/16/2013
Last updated
10/03/2013
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