Most Relevant Information
Provider Data
| NPI Number: | 1003070954 |
| Provider Name: | EDWARD J WALSH MD |
| Entity Type: | Individual |
| Taxonomy Code: | 2085R0204X |
| Specialty: | Radiology |
| License Number: | 4301092538 |
Most Important Dates
| Enumeration Date: | 07/10/2008 |
| Last Updated: | 04/29/2020 |
Provider Practice Location
1105 SIXTH ST
TRAVERSE CITY
MI
496842345
Practice Location Phone/Fax
| Phone: | 2319350497 |
| Fax: |
Provider Mailing Location
PO BOX 30516
DEPT. 9516
LANSING
MI
48909
Provider Mailing Phone/Fax
| Phone: | 2319350497 |
| Fax: | 2319350498 |