Doctor Name: | DR. MEGHAN MARY WALSH |
NPI Number: | 1881637775 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD MPH |
License Number: | 48080 |
Business Practice Address: | 701 Park Ave Office Of The Medical Director, G2 Minneapolis, MN - 554151623 |
Business Phone Number: | 6128733418 |
Business Fax Number: | 6129044418 |
Mailing Address: | 701 Park Ave, Office Of The Medical Director, G2 MINNEAPOLIS |
State: | MN |
Postal Code: | 554151623 |
Phone Number: | 6128733418 |
Fax Number: | 6129044401 |
NPI Enumeration Date: | 06/14/2006 |
NPI Last Update Date: | 09/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 48080 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |