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Individual

MARYANN ELIZABETH WALSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
234 STATE ST, BREWER, ME 04412-1519
(207) 989-5005
(207) 989-0551
Mailing address
33 WHITING HILL RD, BREWER, ME 04412-1021
(207) 973-5035
(207) 973-5042

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD13386
ME
208M00000X
Hospitalist Physician
MD13386
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
041154
ANTHEM
ME
05
225860099
ME
Enumeration date
08/31/2005
Last updated
07/25/2014
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