Individual
MRS. TERESA LEE WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RT(R)(CI)(CV),CCRC
Contact information
Practice address
920 E 28TH ST, SUITE 620, MINNEAPOLIS, MN 55407-1139
(612) 863-6288
Mailing address
8775 RIVER HEIGHTS WAY, INVER GROVE HEIGHTS, MN 55076-3477
(651) 207-8181
Taxonomy
Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
Primary
201605
MN
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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