Individual
DR. WILLIAM MICHAEL WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
15307
NE
207X00000X
Orthopaedic Surgery Physician
Primary
35091
SC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
15307
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200044111
RAILROAD MEDICARE
NE
01
—
35860
BCBS OF NEBRASKA
NE
01
—
900510
UNITED HEALTHCARE
NE
Enumeration date
07/31/2006
Last updated
08/27/2012
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