Individual
DR. MARK DAVID WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
106 MILFORD ST, SUITE 306, SALISBURY, MD 21804-6962
(410) 677-6500
(410) 677-6502
Mailing address
106 MILFORD ST, SUITE 306, SALISBURY, MD 21804-6962
(410) 677-6500
(410) 677-6502
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
16329
SC
2084P0800X
Psychiatry Physician
Primary
D0046237
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161811300
—
MD
01
—
359054
MAMSI MDIPA
—
01
—
522172306
TRICARE
—
01
—
9753
CAREFIRST BC BS
MD
Enumeration date
02/20/2007
Last updated
07/08/2007
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