Andrew O Wahl, MD
in Omaha, NE. Individual provider (NPI-1).
NPI number1124206602
StatusActive
Last updated in NPPESJul 6, 2011
Details
- NPI
- 1124206602
- Entity type
- Individual (NPI-1)
- Name
- Andrew O Wahl
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 6, 2008
- Last updated
- Jul 6, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0001X | 126047261 | IL | Yes |
Practice location
988102 Nebraska Medical CtrOmaha, NE 68198-8102
Phone 402-552-3844 · Fax 402-552-7799
Mailing address
988102 Nebraska Medical CtrOmaha, NE 68198-8102
Phone 402-552-3844 · Fax 402-552-7799
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