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Individual

DR. DANIEL CARROLL WAHL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM. D.

Contact information

Practice address
3450 4TH ST SW, T-0804, MASON CITY, IA 50401-1501
(641) 423-1325
Mailing address
3450 4TH ST SW, T-0804, MASON CITY, IA 50401-1501
(641) 423-1325

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
120065
MN
183500000X
Pharmacist
Primary
21334
IA

Other

Enumeration date
06/16/2011
Last updated
06/16/2011
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