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Individual
MATTHEW PATRICK WAHL
Active
Individual
MATTHEW PATRICK WAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
59006
CO
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
9149613-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2013
Last updated
12/16/2021
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