Individual
SEAN M WAHLQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1743 CREEKSIDE DR STE 130, FOLSOM, CA 95630-3541
(916) 983-2307
(916) 983-8528
Mailing address
1743 CREEKSIDE DR STE 130, FOLSOM, CA 95630-3541
(916) 983-2307
(916) 983-8528
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A132434
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
A132434
CA
Other
Enumeration date
04/11/2013
Last updated
07/23/2019
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