Austin Thomas Walsh, PA-C
Physician Assistant in Wauwatosa, WI. Individual provider (NPI-1).
NPI number1194440438
StatusActive
Last updated in NPPESOct 10, 2022
Details
- NPI
- 1194440438
- Entity type
- Individual (NPI-1)
- Name
- Mr. Austin Thomas Walsh
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 10, 2022
- Certification date
- Oct 6, 2022
- Last updated
- Oct 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 7112-23 | WI | Yes |
Practice location
10625 W North Ave Ste 101bWauwatosa, WI 53226-2315
Phone 414-877-5350 · Fax 414-877-5360
Mailing address
10625 W North Ave Ste 101bWauwatosa, WI 53226-2315
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All 83 Physician Assistant providers in Wauwatosa · All 2,300 providers in Wauwatosa
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