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Luke Whitney Walters

Student in an Organized Health Care Education/Training Program in Minneapolis, MN. Individual provider (NPI-1).

NPI number1033859244
StatusActive
Last updated in NPPESMar 29, 2022

Details

NPI
1033859244
Entity type
Individual (NPI-1)
Name
Luke Whitney Walters
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 29, 2022
Certification date
Mar 24, 2022
Last updated
Mar 29, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

500 Harvard St Se
Minneapolis, MN 55455-0363

Phone 612-273-8383

Mailing address

18986 Firethorn Pt
Eden Prairie, MN 55347-2106

Phone 952-334-6925

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