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Individual
MALCOLM JOHN WEHRLE
Active
Individual
MALCOLM JOHN WEHRLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
G64523
CA
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
G64523
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G645230
BLUE SHIELD
CA
05
—
00G645230
—
CA
Enumeration date
07/23/2006
Last updated
03/09/2021
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