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Thaddeus Stanley Walczak, MD
Neurology Physician in Minneapolis, Minnesota
NPI 1538180864

Thaddeus Stanley Walczak is a Neurology Physician based in Minneapolis, MN and is specialized in Neurology. Thaddeus Stanley Walczak practices in Minneapolis, MN and has the professional credentials of MD. The NPI Number for Thaddeus Stanley Walczak is 1538180864 and holds a License No. 40359 (Minnesota).

The current practice location address for Thaddeus Stanley Walczak is 5775 Wayzata Blvd, Minneapolis, MN and can be reached out via phone at 952-525-4511 and via fax at 952-525-1560.

Location: 5775 Wayzata Blvd, Minneapolis, MN, 55416-1222
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Provider Profile Details
NPI Number
1538180864
Provider Name
Thaddeus Stanley Walczak
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5775 Wayzata Blvd, Minneapolis, MN, 55416-1222
Phone Number
952-525-4511
Fax Number
952-525-1560
Provider Enumeration Date
07/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
792831 01 AMERICAS PPO
31Q17WA 01 MN BLUE CROSS BLUE SHIELD
A011 01 TRIWEST
130018102 01 RAILROAD MEDICARE
338516700 05 MN
10088 05 ND
41-1677590 01 1ST CHOICE OF THE MIDWEST
HP7170 01 HEALTHPARTNERS
01014968 01 PREFERRED ONE
05-81578 01 MEDICA
41-1677590 01 WEA TRUST INSURANCE
institution
Provider Business Practice Location Address Details
Address
5775 Wayzata Blvd
City
State
Zip
55416-1222
Phone Number
952-525-4511
Fax Number
952-525-1560
person
Provider Business Mailing Address Details
Address
5775 Wayzata Blvd
City
State
Zip
55416-1222
Phone Number
952-525-4511
Fax Number
952-525-1560
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
License No.
40359 (Minnesota)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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