Craig Stuart Walvatne in Coon Rapids - Vascular Surgery
Craig Stuart Walvatne - NPI 1972515427
Craig Stuart Walvatne is a Vascular Surgery in Coon Rapids, Minnesota. Craig Stuart Walvatne practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Craig Stuart Walvatne is 1972515427. The last update date is 2022-02-22.
Craig Stuart Walvatne's current location address is 3887 Coon Rapids Blvd Nw, Coon Rapids, Minnesota. You can contact this provider via phone number 7634278547 and fax number 7635765394. The mailing address for Craig Stuart Walvatne is 3887 Coon Rapids Blvd Nw, Coon Rapids, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Craig Stuart Walvatne |
|---|---|
| Address | 3887 Coon Rapids Blvd Nw, Coon Rapids, Minnesota |
| Phone Number | 7634278547 |
| Fax Number | 7635765394 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1972515427 |
|---|---|
| Provider Enumeration Date | 2006-08-13 |
| Last Updated Date | 2022-02-22 |
Provider Mailing Address Detail
| Address | 3887 Coon Rapids Blvd Nw |
|---|---|
| City | Coon Rapids |
| State | Minnesota (MN) |
| Post Code | 554332518 |
| Phone Number | 7634278547 |
| Fax Number | 7635765394 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 31967 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 476753500 | MN | -- | |
| 1778251 | MN | -- | |
| HSZ009 | MN | MEDICARE GRP B | |
| 301T6WA | MN | BCBS |
Post Comment/ Review Below
What is the Craig Stuart Walvatne's 1972515427?
The Craig Stuart Walvatne's NPI (National Provider Identifier) Number is 1972515427. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Craig Stuart Walvatne is physically located?
The Craig Stuart Walvatne is physically situated at the following address: 3887 Coon Rapids Blvd Nw, Coon Rapids, MN, 554332518.
What is Craig Stuart Walvatne's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Craig Stuart Walvatne is Vascular Surgery, and the taxonomy code that categorizes this field of expertise is 2086S0129X.
On what date did the Centers for Medicare & Medicaid Services issue the 1972515427 to Craig Stuart Walvatne?
The Craig Stuart Walvatne received its 1972515427 assignment from the Centers for Medicare & Medicaid Services on 2006-08-13.
As of what date were the Craig Stuart Walvatne's details last updated?
The information pertaining to the Craig Stuart Walvatne, including its address, specialty, and other details, was most recently updated on 2022-02-22.