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Individual
MICHAEL DAVID WAH
Active
Individual
MICHAEL DAVID WAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15366
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3012446
AETNA
MD
01
—
42231909
CAREFIRST OF MD
MD
01
—
60312
OPTIMUM CHOICE
MD
01
—
778165
AARP
MD
01
—
F5170001
GHMSI
MD
Enumeration date
09/29/2006
Last updated
07/08/2007
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