Individual
DR. ROBERT M WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4201 SAINT ANTOINE ST, DETROIT, MI 48201
(313) 993-2530
Mailing address
29257 MEADOWLARK ST, LIVONIA, MI 48154-4529
(131) 357-4798
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301108444
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2015
Last updated
07/09/2018
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