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Individual

JOHN W WALSH

Active
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Individual

JOHN W WALSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

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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