Provider Demographics
NPI:1770660219
Name:WALSH, SEAMUS JUDE (DO)
Entity Type:Individual
Prefix:DR
First Name:SEAMUS
Middle Name:JUDE
Last Name:WALSH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 378
Mailing Address - Street 2:
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44871-0378
Mailing Address - Country:US
Mailing Address - Phone:440-899-7677
Mailing Address - Fax:440-899-7667
Practice Address - Street 1:29257 CENTER RIDGE RD
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145
Practice Address - Country:US
Practice Address - Phone:440-899-7677
Practice Address - Fax:440-899-7667
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2017-02-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH34007491W207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine