Individual
DR. STEVEN MARK WAHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
202 10TH STREET SE, CEDAR RAPIDS, IA 52403-2404
(319) 363-8171
(319) 363-3172
Mailing address
PO BOX 3178, CEDAR RAPIDS, IA 52406-3178
(319) 398-1583
(319) 399-2085
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
27678
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3064568
—
IA
01
—
56521
BLUE CROSS/BLUE SHIELD
IA
Enumeration date
07/08/2005
Last updated
09/11/2013
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