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Individual

DR. DAVID J WALCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6545 FRANCE AVENUE SOUTH, SUITE 510, EDINA, MN 55435
(952) 927-7079
(952) 920-9758
Mailing address
6545 FRANCE AVENUE SOUTH, SUITE 510, EDINA, MN 55435
(952) 927-7079
(952) 920-9758

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25762
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110007145
MEDICARE
MN
05
175803900
MN
Enumeration date
06/22/2005
Last updated
11/13/2009
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