| Prof Walter Thomas Wenda, RN | |
| 
					5700 W Broadway Ave, Crystal, MN 55428-3568  | |
| (651) 464-3966 | |
| Not Available | 
| Full Name | Prof Walter Thomas Wenda | 
|---|---|
| Gender | Male | 
| Speciality | Registered Nurse - Medical-surgical | 
| Location | 5700 W Broadway Ave, Crystal, Minnesota | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1679888085 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163WM0705X | Registered Nurse - Medical-surgical | R-084696-3 (Minnesota) | Primary | 
| 163WX0106X | Registered Nurse - Occupational Health | R-084696-3 (Minnesota) | Secondary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Prof Walter Thomas Wenda, RN 5700 W Broadway Ave, Crystal, MN 55428-3568 Ph: (651) 464-3966  | Prof Walter Thomas Wenda, RN 5700 W Broadway Ave, Crystal, MN 55428-3568 Ph: (651) 464-3966  | 
Tiffany Nicole Mack,  Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6310 27th Ave N Apt 222, Crystal, MN 55427 Phone: 651-248-1524  | |
Casey Fuher, FNP-C Registered Nurse Medicare: Medicare Enrolled Practice Location: 5109 36th Ave N, Crystal, MN 55422 Phone: 763-587-7999  | |
Gerard Idrissa Omari, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5844 Jersey Avenue North, Crystal, MN 55428 Phone: 763-614-0355  |