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Edward Walczak
NPI 1780258608 · on the registry since 2021 · sole proprietor
Practice
- Address
- 420 Delaware Street Se, Mmc 195
Minneapolis, MN 55455 - Phone
- (612) 625-6483
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-05-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota