Individual
MARY N WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8333 NAAB RD STE 420, INDIANAPOLIS, IN 46260-1992
(317) 338-6666
Mailing address
8333 NAAB RD STE 420, INDIANAPOLIS, IN 46260-1992
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01040620A
IN
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
01040620A
IN
207RC0000X
Cardiovascular Disease Physician
01040620A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100341540
—
IN
Enumeration date
04/25/2006
Last updated
05/20/2022
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