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Individual

TIMOTHY RYAN WALSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 805-6100
(414) 805-6147
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 805-6100
(414) 805-6147

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
81028
WI
207LP3000X
Pediatric Anesthesiology Physician
Primary
81028
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1407290588
WI
Enumeration date
04/19/2013
Last updated
10/05/2022
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