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Individual

NAOMI WAHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
211 SAINT FRANCIS DR, CAPE GIRARDEAU, MO 63703-5049
(573) 331-5511
(573) 331-5512
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
2012016003
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0503706
IA
01
0703687
MEDICA
SD
05
10025040700
NE
05
1366414971
MO
01
23737
MIDLANDS CHOICE
SD
01
25421
SANFORD HEALTH PLAN
SD
01
283761017548
PREFERRED ONE
SD
01
361R1WA
BLUE CROSS
MN
01
38022
BLUE CROSS
IA
01
4260
DAKOTACARE
SD
01
4995764
BLUE CROSS
SD
01
57105AD02
WPS TRICARE
SD
05
6630360
SD
01
768489
ARAZ/ AMERICA'S PPO
SD
05
939216500
MN
01
HP24640
HEALTHPARTNERS
SD
Enumeration date
02/07/2006
Last updated
02/25/2021
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