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Individual
DR. BARRY MICHAEL WOHL
Active
Individual
DR. BARRY MICHAEL WOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2829A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00941001
BC BS GROUP NUMBER
WY
01
—
0193235
MEDICA INSURANCE TX
TX
01
—
100048900
WY MEDICAID GROUP NUMBER
WY
05
—
100798000
—
WY
01
—
2829A
WY MEDICAL LICENSE
WY
01
—
301605
BLUE CROSS BLUE SHIELD WY
WY
01
—
419BMW98
WY CONTROLLED SUBSTANCE
WY
01
—
53D0673733
CLIA GROUP NUMBER
—
05
—
7705130
—
SD
05
—
830245718
—
NE
Enumeration date
12/06/2005
Last updated
03/07/2023
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