Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | 48890 | TN |
Y | 208000000X | Pediatrician | 48890 | TN |
N | 208000000X | Pediatrician | P21540 | MD |
N | 2080P0207X | Pediatric Hematology-Oncologist | 48890 | TN |
NPI | 1205973849 |
---|---|
Provider Name | Dr. Michael Francis Walsh |
First Address | Memphis, TN 38103-5835 |
Second Address | Memphis, TN 38105-3678 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2007 |
Last Update Date | 14/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P21540 | (02) | MD |