Individual
MICHAEL JOHN WALEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1432 LONDON RD, DULUTH, MN 55805-2425
(218) 728-5095
Mailing address
2120 LONDON RD APT 211, DULUTH, MN 55812-2803
(651) 900-9535
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14246
MN
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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