Individual
DR. JOHNATHAN RICHARD WALZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
23505 SMITHTOWN RD STE 100, EXCELSIOR, MN 55331-4542
(952) 470-8555
(952) 401-8785
Mailing address
1045 YELLOW BRICK RD APT 104, CHASKA, MN 55318-2171
(651) 470-7289
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7087
MN
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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