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NPI Code Detail

MEDICARE: MICHAEL J. WALZ MD

MEDICARE: MICHAEL J. WALZ MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician29431MN
2207Q00000XFamily Medicine Physician29431MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336117605
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL J. WALZ MD
Provider Business Mailing Address
First Line : 410 CHURCH ST SE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55455-0222
Country : US
Telephone Number : 612-625-8400
Fax Number : 612-625-1434
Provider Business Practice Location Address
First Line : 410 CHURCH ST SE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55455-0222
Country : US
Telephone Number : 612-625-8400
Fax Number : 612-625-1434
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2006
Last Update Date : 06/11/2024

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Directions to “ MICHAEL J. WALZ MD” Practice Location

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