Individual
DR. JACK TODD WAHRENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
249 S 9TH ST, PITTSBURGH, PA 15203-1265
(412) 697-3260
Mailing address
249 S 9TH ST, PITTSBURGH, PA 15203-1265
(412) 697-3260
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD 050618 L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014788970006
—
PA
Enumeration date
06/14/2005
Last updated
01/14/2026
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