Individual
DR. MICHAEL GARY WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
710 W 1ST ST, PELLA, IA 50219
(641) 629-9222
Mailing address
710 W 1ST ST, PELLA, IA 50219-1613
(641) 629-9222
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
58485
MN
2084P0800X
Psychiatry Physician
Primary
MD-42769
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2012
Last updated
03/08/2019
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