Individual
JOHN PATRICK WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 N MAYFAIR RD, SUITE 545, WAUWATOSA, WI 53226-1309
(414) 476-0430
(414) 476-3242
Mailing address
2600 N MAYFAIR RD, STE 545, WAUWATOSA, WI 53226-1309
(414) 476-0430
(414) 476-3242
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
17840020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30129700
—
WI
01
—
340005580
MEDICARE RAILROAD
WI
Enumeration date
03/09/2006
Last updated
02/26/2010
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