Female

Roleen R. Walgenbach RNP

Family Medicine Physician in Cass Lake, MN(View on Map)

Full Name

Roleen Ruth Walgenbach RNP

NPI Number

1467569095

NPI Type

Individual Provider

Gender

Female

Enumeration Date

08/23/2006

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Minnesota
Wisconsin

License Number

R116915-7
53270

Contact
Information

Purpose

Mailing
Location

Address

425 7TH ST NW
425 7TH ST NW

City

Cass Lake
Cass Lake

State

MN
MN

Postal Code

56633-3360
56633-3360

Country

US
US

Telephone Number

(218) 335-3200
(218) 335-3200

Identifiers

Identifier

58G75WA

Identifier State

MN

Identifier Issuer

BCBS

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/09/2007

Provider Address

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