Individual
DR. ROBERT P WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4201 SAINT ANTOINE ST, 6G-UNIVERSITY HEALTH CENTER, DETROIT, MI 48201-2153
(313) 993-2530
(313) 993-7703
Mailing address
4201 SAINT ANTOINE ST, 6G-UNIVERSITY HEALTH CENTER, DETROIT, MI 48201-2153
(313) 993-2530
(313) 993-7703
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301049741
MI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4301049741
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101988630
—
MI
01
—
RW049741
BC/BS OF MI
MI
Enumeration date
03/24/2006
Last updated
06/28/2010
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