Individual
MARYANN ELIZABETH WALSH
Active
Individual
MARYANN ELIZABETH WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
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
Update your record
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