Individual
JOSEPH M DAUWALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
800 E 28TH ST, SUITE H2100, MINNEAPOLIS, MN 55407-3723
(612) 863-6800
(612) 863-6006
Mailing address
2618 ALDRICH AVE S APT 3, MINNEAPOLIS, MN 55408-1369
(952) 210-7281
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
A0611077
MN
Other
Enumeration date
07/12/2011
Last updated
11/09/2020
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