Individual
BRYAN W WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2450 ASHBY AVE, #1002, BERKELEY, CA 94705-2067
(510) 204-1893
Mailing address
1 LAKESIDE DR APT 710, OAKLAND, CA 94612-4654
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A74763
CA
Other
Enumeration date
12/12/2006
Last updated
12/01/2021
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