Individual
MICHAEL R WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8100 NORTHLAND DR, BLOOMINGTON, MN 55431-4800
(952) 831-8742
Mailing address
3800 PARK NICOLLET BLVD, CREDENTIALING, MINNEAPOLIS, MN 55416-2527
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
45635
MN
Other
Enumeration date
12/22/2005
Last updated
03/08/2012
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