NPI 1174062749

John Walseman

Practitioner Radiologic Technologist Bemidji, MN

Practice location

Address: 2505 Minnesota Ave NW APT 3, Bemidji, MN 56601-2474
Phone: (315) 804-7047

Registered specialties

Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247100000X Licence 492633 (MN)

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Registry record

NPI: 1174062749
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Feb 2017
Record last updated: 15 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.