Individual
KEVIN WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 S STATE RD, DAVISON, MI 48423-1721
(810) 653-4020
Mailing address
901 S STATE RD, DAVISON, MI 48423-1721
(810) 653-4020
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302038011
MI
Other
Enumeration date
02/18/2014
Last updated
01/26/2016
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