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Individual

DR. BRIAN L WALSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
307 W 5TH ST, STORM LAKE, IA 50588-1743
(712) 732-4063
(712) 732-6383
Mailing address
307 W 5TH ST, STORM LAKE, IA 50588-1743
(712) 732-4063
(712) 732-6383

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
04334
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03094
IA
Enumeration date
07/12/2006
Last updated
06/13/2008
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