Individual
DR. MARIE G WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1985 GRATIOT AVE, SUITE 2A, MARYSVILLE, MI 48040-1200
(810) 364-5050
(810) 364-5688
Mailing address
PO BOX 1239, TROY, MI 48099-1239
(248) 824-6600
(248) 324-1477
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301074465
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0D40029
BCBS GROUP PIN FOR LAPEER
MI
01
—
1106323752
BCBS ID
MI
01
—
1568413482
NPI #
MI
01
—
1609101807
NPI GROUP
MI
05
—
4872208-10
—
MI
01
—
70-0-F32947-0
BCBS CPIN #
MI
01
—
MA074465
STATE ID
MI
Enumeration date
05/15/2006
Last updated
10/14/2013
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