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Individual
DR. BRADY MICHAEL WAHLBERG
Active
Individual
DR. BRADY MICHAEL WAHLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OS016915
PA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
OS016915
PA
208VP0014X
Interventional Pain Medicine Physician
OS016915
PA
Other
Enumeration date
06/10/2012
Last updated
03/30/2022
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