# MARIE G WALSH MD PLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215264890
- **Authorized official:** DR. MARIE G WALSH MD (PHYSICIAN)
- **Authorized official phone:** (586) 773-1823

## Contact information

- **Practice address:** 1083 SUNSET DRIVE, SUITE A, LAPEER, MI 48446-4421
- **Practice address phone:** (586) 773-1823
- **Practice address fax:** (313) 262-1732
- **Mailing address:** 1083 SUNSET DRIVE, SUITE A, LAPEER, MI 48446-4421
- **Mailing address phone:** (586) 773-1823
- **Mailing address fax:** (313) 262-1732

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 4301074465 | MI | Yes |

## Other

- **Enumeration date:** 11/03/2009
- **Last updated:** 11/03/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0501856 | BC PIN | MI |
| 05 | — | 4872208 | — | MI |