Individual
DR. MICHAEL THOMAS WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1537 N. LEROY ST, SUITE F, FENTON, MI 48430-2795
(810) 629-6500
(810) 629-6616
Mailing address
6036 HEDGEROW CIR, GRAND BLANC, MI 48439-9788
(810) 715-2231
(810) 733-7246
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008999
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B51355
BCBSM
MI
05
—
4859841
—
MI
Enumeration date
07/15/2006
Last updated
03/05/2008
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