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1316063530
MICHAEL ANTHONY WALSH
KENOSHA, WI
NPI
1316063530
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: WI 5001276-015)
Enumeration Date
2007-03-21
Last Update Date
2007-07-08
Business Address
DR. MICHAEL ANTHONY WALSH D.D.S.
2600 22ND AVE
KENOSHA, WI 53140-4813
Phone number: 262-658-1410
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Mailing Address
DR. MICHAEL ANTHONY WALSH D.D.S.
2600 22ND AVE
KENOSHA, WI 53140-4813
Phone number: 262-658-1410
Copy
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