Individual
DR. TIMOTHY WILLIAM WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13221 CEDARWOOD AVE, CLIVE, IA 50325-8572
(515) 710-5112
Mailing address
13221 CEDARWOOD AVE, CLIVE, IA 50325-8572
(515) 710-5112
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
29285
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2097089
—
IA
01
—
50177
WELLMARK GROUP #
IA
Enumeration date
07/07/2005
Last updated
12/16/2016
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