Individual
JOHN WALZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4404 HIGHWAY 29 S, ALEXANDRIA, MN 56308-2915
(320) 763-7393
Mailing address
821 34TH AVE E APT 102, ALEXANDRIA, MN 56308-2919
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118542
MN
183500000X
Pharmacist
R5580
SD
Other
Enumeration date
01/01/2012
Last updated
01/01/2012
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