Individual
EDWARD J WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2345
(231) 935-0497
Mailing address
PO BOX 30516, DEPT. 9516, LANSING, MI 48909
(231) 935-0497
(231) 935-0498
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301092538
MI
2085R0204X
Vascular & Interventional Radiology Physician
4301092538
MI
Other
Enumeration date
07/10/2008
Last updated
04/29/2020
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