Individual
DR. MARTIN J WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
711 VETERANS MEMORIAL PKWY STE 300, SAINT CHARLES, MO 63303-2106
(636) 669-2350
(636) 669-2360
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
33459
MO
207R00000X
Internal Medicine Physician
Primary
33459
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200796100
—
MO
Enumeration date
03/31/2006
Last updated
10/27/2020
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