Individual
MICHELE C WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7700
(216) 286-6341
Mailing address
3605 WARRENSVILLE CENTER RD, SHAKER HTS, OH 44122-5203
(216) 296-6299
(216) 286-6341
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35-052102
OH
207LP3000X
Pediatric Anesthesiology Physician
35-052102
OH
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
35-052102
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000028327
ANTHEM
OH
01
—
000000218490
UNISON
OH
01
—
000000526167
ANTHEM
OH
01
—
0643264
AETNA
OH
01
—
0685898
BCMH
OH
05
—
0685898
—
OH
01
—
364107
WELLCARE
OH
01
—
737661
BUCKEYE
OH
Enumeration date
07/24/2006
Last updated
06/12/2009
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