Individual
CHRISTOPHER J WAHLGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10755 FALLS RD, LUTHERVILLE, MD 21093-4515
(321) 442-7156
(410) 955-9062
Mailing address
9910 FRANKLIN SQUARE DR STE 2110, BALTIMORE, MD 21236-4902
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101042670
VA
207L00000X
Anesthesiology Physician
Primary
D57957
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099810901
—
MD
01
—
601285800
FECA
—
Enumeration date
05/26/2006
Last updated
03/17/2020
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