Goudge Walker, Christine Suzanne

Goudge Walker, Christine Suzanne is an individual health care provider with primary practice located at 15800 95Th Ave N Park Nicollet - Dept Of Ob/Gyn, Maple Grove MN 55369-4400. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Goudge Walker, Christine Suzanne can be contacted via phone (952) 993-3282.

Contact Information

Primary practice address
15800 95Th Ave N Park Nicollet - Dept Of Ob/Gyn Maple Grove MN 55369-4400
Phone: (952) 993-3282
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 16950 Minnesota

Profile Details

NPI number 1104962844
LBN Legal business name Goudge Walker, Christine Suzanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Mar 1st, 2012 - about 14 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 1104962844 NPPES
Wisconsin MEDICAID 34793800
Wisconsin MEDICAID 712452000

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