Walsh, Marie G

Walsh, Marie G is an individual health care provider with primary practice located at 1985 Gratiot Ave Suite 2A, Marysville MI 48040-1200. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Walsh, Marie G can be contacted via phone (810) 364-5050.

Contact Information

Primary practice address
1985 Gratiot Ave Suite 2A Marysville MI 48040-1200
Phone: (810) 364-5050
Fax: (810) 364-5688
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301074465 Michigan

Profile Details

NPI number 1568413482
LBN Legal business name Walsh, Marie G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Oct 14th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568413482 NPPES
Michigan MEDICAID 4872208-10
Michigan Other 1568413482
Michigan Other 0D40029
Michigan Other 1609101807
Michigan Other MA074465
Michigan Other 70-0-F32947-0
Michigan Other 1106323752

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