Individual
MARY LEE WAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8350 COMMONWEALTH DR APT 430, EDEN PRAIRIE, MN 55344-2870
(443) 569-9350
Mailing address
8350 COMMONWEALTH DR APT 430, EDEN PRAIRIE, MN 55344-2870
(443) 569-9350
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
R039925
MD
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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