Individual
DR. BRADY MICHAEL WAHLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
856 CENTURY DR, MECHANICSBURG, PA 17055-4505
(717) 730-7099
(717) 741-9867
Mailing address
1861 POWDER MILL RD, ATTN: MEDICAL STAFF OFFICE, YORK, PA 17402-4723
(717) 718-2000
(717) 718-3470
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OS016915
PA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
OS016915
PA
208VP0014X
Interventional Pain Medicine Physician
OS016915
PA
Other
Enumeration date
06/10/2012
Last updated
03/30/2022
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