Individual
DR. JOHN WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5225 23RD AVE S, FARGO, ND 58104-7927
(210) 567-7000
Mailing address
1630 19TH AVE E, WEST FARGO, ND 58078-4321
(712) 339-5593
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
BP10074490
TX
208600000X
Surgery Physician
Primary
RL18721
ND
Other
Enumeration date
06/02/2021
Last updated
06/21/2022
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