| Organization Name: | VASCULAR SURGERY ASSOCIATES PA |
| NPI Number: | 1083894836 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CRAIG STUART WALVATNE (PHYSICIAN) |
| Mailing Address: | 3887 Coon Rapids Blvd Nw Coon Rapids |
| State: | MN US |
| Postal Code: | 554332518 |
| Phone Number: | 7634278547 |
| Fax Number: | 7635765394 |
| NPI Enumeration Date: | 11/09/2007 |
| NPI Last Update Date: | 12/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0129X |
| License Number: | 31967 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Vascular Surgery |
| Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |