THOMAS K WALLACE

MINNEAPOLIS, MN
NPI1811089006
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MN  R 132463-3)
Enumeration Date2006-09-28
Last Update Date2007-07-08
Business Address
-- THOMAS K WALLACE CRNA
800 E 28TH ST
MINNEAPOLIS, MN 55407-3723
Phone number: 612-871-7639
Mailing Address
-- THOMAS K WALLACE CRNA
2545 CHICAGO AVE SUITE 311
MINNEAPOLIS, MN 55404-4522
Phone number:
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