Walz, David

Walz, David is an individual health care provider with primary practice located at 621 W Lake St Ste 350 , Minneapolis MN 55408-2952. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Walz, David can be contacted via phone (612) 979-2276.

Contact Information

Primary practice address
621 W Lake St Ste 350 Minneapolis MN 55408-2952
Phone: (612) 979-2276
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X CC00714 Minnesota

Profile Details

NPI number 1285004473
LBN Legal business name Walz, David
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2015
Last updated Oct 22nd, 2025 - about last year

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 1285004473 NPPES
Minnesota MEDICAID CC00714

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