MD Wendell A Wall, NPI 1700812757
Obstetrics & Gynecology Physician in Thief River Falls, MN, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1700812757
NPI Entity Type Individual
Provider Name MD Wendell A Wall
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1720 Highway 59 S, Thief River Falls, MN, US
Provider Mailing Address 1720 Highway 59 S, Thief River Falls, MN, US, 567014331
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

207V00000X

Taxonomy Name Obstetrics & Gynecology Physician
Classification

Obstetrics & Gynecology

Group

Allopathic & Osteopathic Physicians

License No. 28024
License State MN
Description An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Business Address

MD Wendell A Wall
1720 Highway 59 S

Thief River Falls, MN, US

Phone: 218-681-4747
Fax: 218-683-2595

Mailing Address

MD Wendell A Wall
1720 Highway 59 S
Thief River Falls, MN, US
ZIP 567014331
Phone: 218-681-4747
Fax: 218-683-2595

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
068G5WA MN MNBS # 01
002767700 MN MEDICAID 05
14419 MN MEDICAID 05
2395 ND NDBS # 01
20522 ND NDBS # 01
769233 MN AMERICA'S PPO/ARAZ # 01
DA9021015637 MN PREFERRED ONE # 01
HP19559 MN HEALTHPARTNERS # 01
142078 MN UCARE # 01
ND200109 ND LHS # 01
0701809 ND MEDICA # 01
24343 MN NDBS # 01
45G58WA ND MNBS # 01
0703790 MN MEDICA # 01

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