Individual
DR. SHEA MICHEAL WALKUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
442 WEST HIGH STREET, SUITE 2, BRYAN, OH 43506
(419) 636-3163
(419) 636-5037
Mailing address
442 WEST HIGH STREET, SUITE 2, BRYAN, OH 43506
(419) 636-3163
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
21730
OH
1223G0001X
General Practice Dentistry
Primary
3021730
OH
Other
Enumeration date
04/12/2007
Last updated
01/28/2013
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