| Michael A Walsh Dds Sc | |
|
2600 22nd Ave Kenosha WI 53140 | |
| (262) 658-1410 | |
| (262) 658-1410 |
| Full Name | Michael A Walsh Dds Sc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2600 22nd Ave, Kenosha, Wisconsin |
| Authorized Official Name and Position | Michael Anthony Walsh (OFFICER) |
| Authorized Official Contact | 2626581410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael A Walsh Dds Sc 2600 22nd Ave Kenosha WI 53140 Ph: (262) 658-1410 | Michael A Walsh Dds Sc 2600 22nd Ave Kenosha WI 53140 Ph: (262) 658-1410 |
| NPI Number | 1841404704 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841404704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5001276015 (Wisconsin) | Primary |
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