Individual
CHRISTOPHER WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3535 W 13 MILE RD, 741, ROYAL OAK, MI 48073-6770
(248) 755-2936
Mailing address
1782 WEBSTER ST, BIRMINGHAM, MI 48009-7811
(248) 755-2936
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004838
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/07/2014
Last updated
05/01/2015
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