Individual provider · Type 1 NPI

Edward Gregory Walczak

Student in an Organized Health Care Education/Training Program · Minneapolis, MN

NPI number 1780258608 Active

Practice location

420 Delaware Street SE, Mmc 195
Minneapolis, MN 55455

Call (612) 625-6483 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1780258608

Edward Gregory Walczak's National Provider Identifier is 1780258608, issued on May 15, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Minneapolis, MN. The record was last updated on May 15, 2021.