Individual
DANIEL GERARD WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
27901 WOODWARD AVE STE 300, BERKLEY, MI 48072-0921
(248) 545-0070
(248) 545-4850
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01076290A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
4301047259
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201341760
—
IN
05
—
2950584
—
MI
01
—
M47140195
MEDICARE
IN
Enumeration date
11/03/2005
Last updated
11/07/2024
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