Katherine Wallerius
Plastic Surgeon (Head & Neck)
200 1st St Sw
Rochester
, Minnesota 55905-0001
Katherine Wallerius
Plastic Surgeon (Head & Neck)
200 1st St Sw
Rochester
, Minnesota 55905-0001
(507) 284-2511
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About
Features
Specialties
- Plastic Surgeon (Head & Neck)
Languages spoken
- English
Location
First Address
- Katherine Wallerius
- 200 1st St Sw
- Rochester, MN
- Zip : 55905-0001
- Phone : (507) 284-2511
Second Address
- Katherine Wallerius
- 200 1st St Sw
- Rochester, MN
- Zip : 55905-0001
- Phone : (303) 886-2222
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207YX0007X | Plastic Surgeon (Head & Neck) | 30736 | MN |
| Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 69690 | MN |
National Provider Identifier
| NPI | 1528696515 |
|---|---|
| Provider Name | Katherine Wallerius |
| First Address | Rochester, MN 55905-0001 |
| Second Address | Rochester, MN 55905-0001 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/03/2020 |
| Last Update Date | 12/08/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.