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Individual
MICHAEL L WOLLENBERG
Active
Individual
MICHAEL L WOLLENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD156369
OR
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
MD156369
OR
Other
Enumeration date
12/17/2008
Last updated
04/25/2013
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