Individual
DR. PATRICK RYAN WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4440 S WASHINGTON ST - ALTRU PROFESSIONAL CENTER, GRAND FORKS, ND 58201-7245
(701) 732-7700
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-1891
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11018282A
IN
207QS0010X
Sports Medicine (Family Medicine) Physician
01080600A
IN
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
15932
ND
Other
Enumeration date
06/17/2014
Last updated
10/02/2020
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