1. Home
  2. Directory
  3. Minnesota
  4. Minneapolis
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

EDWARD GREGORY WALCZAK
NPI 1780258608
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since May 15, 2021
420 DELAWARE STREET SE, MMC 195, MINNEAPOLIS, MN 55455(612) 625-6483 Get Directions Write a Review

NPPES record last updated: May 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Edward Gregory Walczak NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWARD GREGORY WALCZAK (NPI 1780258608) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1780258608
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameEDWARD GREGORY WALCZAK
Location Address420 DELAWARE STREET SE, MMC 195Minneapolis, MN 55455
Mailing Address420 Delaware Street Se, Mmc 195Minneapolis, MN 55455 · (612) 625-6483
Phone(612) 625-6483
Sole ProprietorYes
Enumeration DateMay 15, 2021
NPPES CertifiedApril 20, 2021
✔ NPI 1780258608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
420 DELAWARE STREET SE, MMC 195, Minneapolis, MN 55455
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NIVEDITHA JAGADESH
Student in an Organized Health Care Education/Training Program
420 DELAWARE STREET SE, MMC 195
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-6483
MIRANDA CONSIDINE
Student in an Organized Health Care Education/Training Program
420 DELAWARE STREET SE, MMC 195
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-6483
SONJA BOATMAN MD
Surgery
420 DELAWARE STREET SE, MMC 195
MINNEAPOLIS, MN 55455
Hennepin County (612) 624-1722
DR. DEBBIE LI MD
Student in an Organized Health Care Education/Training Program
420 DELAWARE STREET SE, MMC 195
MINNEAPOLIS, MN 55455
Hennepin County (612) 301-9433
DR. NOLAN GREGORY SCHWARZ MD, MS
Student in an Organized Health Care Education/Training Program
420 DELAWARE STREET SE, MMC 195
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-6483
ZACHARY ANDREW GERMAN MD
Student in an Organized Health Care Education/Training Program
420 DELAWARE STREET SE, MMC 195
MINNEAPOLIS, MN 55455
Hennepin County (612) 301-9433

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Walczak's NPI number?

The NPI number for Edward Walczak is 1780258608. It was assigned to this individual provider in the NPPES registry on May 15, 2021.

Where is Edward Walczak located?

Edward Walczak practices at 420 Delaware Street SE, Mmc 195, Minneapolis, MN 55455. The listed phone number is (612) 625-6483.

What is Edward Walczak's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Edward Walczak was last updated on May 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.