Individual
ADAM WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 WAHOO AVE BLDG 449, GROTON, CT 06349-2324
(815) 409-2564
Mailing address
1 WAHOO AVE BLDG 449, GROTON, CT 06349-2324
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
208D00000X
General Practice Physician
Primary
0101283152
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/28/2023
Last updated
10/30/2025
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