Individual
ANDREW J WAHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
12303 DEPAUL DR, DEPAUL HEALTH CENTER, BRIDGETON, MO 63044
(314) 344-6000
(630) 734-1560
Mailing address
PO BOX 4853, DEPT 4036 MIDWEST EMERGENCY ASSOCIATES DEPAUL LLC, OAK BROOK, IL 60522-4853
(630) 734-0200
(630) 734-1560
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
117541
MO
Other
Enumeration date
11/18/2005
Last updated
11/13/2024
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