DIANE E WALLNER (NPI# 1548221757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548221757 |
| Entity Type | Individual |
| Full Name | DIANE E WALLNER |
| Credential | MD |
| Practice Address |
134 Southview St Owatonna MN 55060-3241 |
| Mailing Address |
2200 Nw 26th St Owatonna MN 55060-5503 |
| Practice Telephone | 5074511120 |
| Practice Fax Number | 5074446287 |
| Mailing Telephone | 5074511120 |
| Mailing Fax Number | 5074446287 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2014-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 37263 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 696325100 | 05 |
| Street Address |
134 SOUTHVIEW ST |
| City | OWATONNA |
| State | MN |
| Zip Code | 55060-3241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851377162 | George Marcus | Radiology | 134 Southview St, Owatonna, MN 55060-3241 | 2005-12-19 |
| 1285160259 | Sara Halla | Counselor | 134 Southview St, Owatonna, MN 55060-3241 | 2017-05-11 |
| 1770750523 | Urology Associates, Ltd. | Urology | 134 Southview St, Owatonna, MN 55060-3241 | 2008-05-12 |
| 1699796052 | Connie Marie Grandia | Physician Assistant | 134 Southview St, Owatonna, MN 55060-3241 | 2006-07-21 |
| 1003855651 | Eleanor O Vita | Family Medicine | 134 Southview St, Owatonna, MN 55060-3241 | 2006-06-06 |
| 1780646778 | Tony F Chou | Emergency Medicine | 134 Southview St, Owatonna, MN 55060-3241 | 2006-04-05 |
| 1427019637 | Gregory Carl Jones | Otolaryngology | 134 Southview St, Owatonna, MN 55060-3241 | 2006-03-29 |
| 1942261151 | Joan M Queen | Nurse Practitioner | 134 Southview St, Owatonna, MN 55060-3241 | 2006-03-29 |
| 1205897428 | Kim Willis Baker | Emergency Medicine | 134 Southview St, Owatonna, MN 55060-3241 | 2006-03-29 |
| 1932160157 | Garry Lee Cole | Family Medicine | 134 Southview St, Owatonna, MN 55060-3241 | 2006-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669936480 | Lee Joseph Bakewell | Nurse Practitioner | 2200 Nw 26th St, Owatonna, Owatonna, MN 55060 | 2019-01-25 |
| 1275028227 | Karen Brennhofer | Audiologist | 2200 Nw 26th St Apt 309, Owatonna, MN 55060 | 2018-06-22 |
| 1801326418 | Katharyn Kristin Stricklin | Registered Nurse | 1961 Premier Drive, Suite 340 Mankato, Mankato, MN 55060 | 2017-06-15 |
| 1134666753 | Holly Christianson | Social Worker | 2575 Harvest Lane Nw, Owatonna, MN 55060 | 2017-01-20 |
| 1346613031 | Birchwood Cottages | Assisted Living Facility | 1905 Austin Road, Owatonna, MN 55060 | 2015-11-04 |
| 1881080067 | Cory Michael Kopas | Chiropractor | 130 26th Street Nw, Owatonna, MN 55060 | 2015-04-14 |
| 1528456613 | Quality Home Health Care Inc. | Home Health | 201 East Front Street, Owatonna, MN 55060 | 2014-12-26 |
| 1194017624 | Amy Louise Haycraft | Nurse Practitioner | South Central Human Relations Center, 610 Florence Ave, Owatonna, MN 55060 | 2011-05-02 |
| 1710123971 | Rahn Optometry Inc | Optometrist | 1130 W. Frontage Rd, Owatonna, MN 55060 | 2008-12-18 |
| 1063616993 | Michael John Dickman | Dentist | 1414 S Oak Ave Suite Five, Owatonna, MN 55060 | 2007-06-13 |
| Find all providers in zip 55060 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356814271 | Mallory Lynn Berry | Family Medicine | 2200 Nw 26th St, Owatonna, MN 55060-5503 | 2019-01-03 |
| 1669814901 | Kathryn N Mckenzie | Family Medicine | 2200 Nw 26th St, Owatonna, MN 55060 | 2013-07-29 |
| 1568758837 | Jibril Ibrahim Elabe | Family Medicine | 2200 Nw 26th St, Owatonna, MN 55060 | 2011-06-24 |
| 1326359241 | Bradley A Bohn | Family Medicine | 2200 Nw 26th St, Owatonna, MN 55060-5503 | 2010-06-25 |
| 1831334424 | Timothy D. Vangelder | Family Medicine | 2200 Nw 26th St, Owatonna, MN 55060-5503 | 2008-12-10 |
| 1003855651 | Eleanor O Vita | Family Medicine | 134 Southview St, Owatonna, MN 55060-3241 | 2006-06-06 |
| 1912968124 | Janet Marie Anderson-beckman | Family Medicine | 2200 Nw 26th St, Owatonna, MN 55060-5503 | 2006-03-29 |
| 1558322768 | Brian Eugene Bunkers | Family Medicine | 2200 Nw 26th St, Owatonna, MN 55060-5503 | 2006-03-29 |
| 1639130842 | Michael Stuart Schoeneman | Family Medicine | 2200 Nw 26th St, Owatonna, MN 55060-5503 | 2006-03-29 |
| 1538120746 | Kellyanna J Moore | Family Medicine | 2200 Nw 26th St, Owatonna, MN 55060-5503 | 2006-03-29 |
| Find all providers in OWATONNA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.