Individual
JOHN W WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5300 ELLIOTT DR, YPSILANTI, MI 48197-8632
(734) 434-6262
(734) 712-2820
Mailing address
5300 ELLIOTT DR, YPSILANTI, MI 48197-8632
(734) 434-6262
(734) 712-2820
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
056299
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014990
MIDWEST HEALTH PLAN
MI
01
—
0811009
BCBS INDIVIDUAL
MI
01
—
0H14989
BCBS GROUP
MI
01
—
100005954
MEDICARE RAILROAD PTAN
MI
01
—
1777972001
CIGNA
MI
05
—
2919708
—
MI
01
—
4403997
AETNA
MI
Enumeration date
01/19/2006
Last updated
09/09/2025
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