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Organization
MARIE G WALSH MD PLC
Active
Organization
MARIE G WALSH MD PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIE G WALSH MD (PHYSICIAN)
(586) 773-1823
Entity
Organization
Contact information
Practice address
1083 SUNSET DRIVE, SUITE A, LAPEER, MI 48446-4421
(586) 773-1823
(313) 262-1732
Mailing address
1083 SUNSET DRIVE, SUITE A, LAPEER, MI 48446-4421
(586) 773-1823
(313) 262-1732
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301074465
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0501856
BC PIN
MI
05
—
4872208
—
MI
Enumeration date
11/03/2009
Last updated
11/03/2009
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