Individual
MARY P WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
43 SOKOKIS TRAIL, EAST WATERBORO, ME 04030
(207) 247-6742
(207) 247-6114
Mailing address
PO BOX 1849, LEWISTON, ME 04241-1849
(207) 784-2554
(207) 777-5363
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1532
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270380099
—
ME
Enumeration date
02/07/2006
Last updated
10/03/2011
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