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Individual

MR. MICHAEL A WOHLBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 W 9TH ST, JASPER, IN 47546-2514
(812) 996-2345
Mailing address
800 W 9TH ST, JASPER, IN 47546-2514
(812) 996-2345

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01043942A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000092681
ANTHEM PROVIDER #
IN
05
200149540A
IN
01
300084408
TRAVELERS MEDICARE #
IN
Enumeration date
07/22/2005
Last updated
12/21/2016
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