Individual
MR. MICHAEL WAHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.S.W.
Contact information
Practice address
5534 MEDICAL CIRCLE, MADISON, WI 53719
(608) 274-0355
(608) 274-5546
Mailing address
5534 MEDICAL CIRCLE, MADISON, WI 53719
(608) 274-0355
(608) 274-5546
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
413123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39528000
—
WI
Enumeration date
07/31/2006
Last updated
07/08/2007
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