Walvatne, Craig Stuart

Walvatne, Craig Stuart is an sole proprietor health care provider with primary practice located at 11855 Ulysses St Ne 220, Blaine MN 55434-3947. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Walvatne, Craig Stuart can be contacted via phone (763) 427-8547.

Contact Information

Primary practice address
11855 Ulysses St Ne 220 Blaine MN 55434-3947
Phone: (763) 427-8547
Fax: (763) 576-5394
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 27345-020 Wisconsin
Allopathic & Osteopathic Physicians / Surgery 208600000X 31967 Minnesota
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 31967 Minnesota
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 27345-020 Wisconsin
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 31967 Minnesota

Profile Details

NPI number 1972515427
LBN Legal business name Walvatne, Craig Stuart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2006
Last updated Feb 22nd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972515427 NPPES
Minnesota MEDICAID 476753500
Minnesota MEDICAID 1778251
Minnesota Other HSZ009
Minnesota Other 301T6WA

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