Individual
MRS. SHARLENE MAE WALCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2003 CENTRAL AVE NE, MINNEAPOLIS, MN 55418-4531
(612) 706-2526
(612) 781-1288
Mailing address
3974 5TH ST NE, COLUMBIA HEIGHTS, MN 55421-3639
(763) 788-2168
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
R141389-0
MN
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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