Individual
ANDREW O WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 552-3844
(402) 552-7799
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 552-3844
(402) 552-7799
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
126047261
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24602
NE LICENSE
NE
Enumeration date
02/06/2008
Last updated
07/06/2011
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