Provider Demographics
NPI:1750369492
Name:WALKER, STANLEY D (MD)
Entity type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:D
Last Name:WALKER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8401 GOLDEN VALLEY RD STE 330
Mailing Address - Street 2:
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55427-4488
Mailing Address - Country:US
Mailing Address - Phone:763-416-7629
Mailing Address - Fax:763-383-4147
Practice Address - Street 1:250 CENTRAL AVE N STE 107
Practice Address - Street 2:
Practice Address - City:WAYZATA
Practice Address - State:MN
Practice Address - Zip Code:55391-1207
Practice Address - Country:US
Practice Address - Phone:763-416-7600
Practice Address - Fax:763-416-7634
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2020-03-18
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Provider Licenses
StateLicense IDTaxonomies
MN27048207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN682393900Medicaid
MN180000331Medicare ID - Type Unspecified
MN682393900Medicaid
MN180010203Medicare PIN