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Individual

DR. JON C WALSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
601 JOHN ST # 67, KALAMAZOO, MI 49007-5341
(269) 341-6022
(269) 341-8244
Mailing address
601 JOHN ST # 67, KALAMAZOO, MI 49007-5341
(269) 341-6022
(269) 341-8244

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301076772
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1417961137
BCBSM - BRONSON
MI
05
1932210713
MI
Enumeration date
08/31/2006
Last updated
11/27/2023
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