# MATTHEW PATRICK WAHL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1992047393
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 59006 | CO | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 9149613-1205 | UT | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — | — |

## Other

- **Enumeration date:** 03/23/2013
- **Last updated:** 12/16/2021