Individual
DAVID A WALETZKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
911 NORTHLAND DR, PRINCETON, MN 55371-2172
(763) 389-1313
Mailing address
911 NORTHLAND DR, PRINCETON, MN 55371-2172
(763) 389-1313
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36750
MN
Other
Enumeration date
05/15/2006
Last updated
01/17/2014
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