Individual provider · Type 1 NPI
Brandon Walker
Medical Physician Assistant · St. Paul, MN
NPI number
1811201957
Active
Practice location
2004 Ford Parkway, Ms 35300A
St. Paul, MN 55116-1931
Fax (651) 265-0001
Mailing address
8170 33rd Ave S - PO Box 1309, Ms 21110Q
Minneapolis, MN 55425-4516
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Medical Physician Assistant Primary | 363AM0700X | 11262 (MN) |
Medical Physician Assistant: Definition to come...
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About NPI 1811201957
Brandon Walker's National Provider Identifier is 1811201957, issued on Jul 30, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in St. Paul, MN. The record was last updated on Jan 27, 2015.