Individual
JULIE L WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
183 MAIN ST W, WABASHA, MN 55981-1236
(651) 565-3687
Mailing address
183 MAIN ST W, WABASHA, MN 55981-1236
(651) 565-3687
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2607
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841242773
—
MN
01
—
P00666608
MEDICARE RAILROAD
MN
Enumeration date
05/17/2006
Last updated
11/10/2012
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