Individual
BRENDA M WAHLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 E 2ND ST, COUDERSPORT, PA 16915-8161
(814) 274-9300
Mailing address
1001 E 2ND ST, COUDERSPORT, PA 16915-8161
(814) 274-9300
(814) 274-0807
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD426164
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013188780001
—
PA
Enumeration date
05/08/2006
Last updated
04/02/2021
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