Individual
MRS. MARY CLAIRE WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
4102 PINION DR, USAF ACADEMY, CO 80840-2502
(719) 333-5063
Mailing address
4102 PINION DR, USAF ACADEMY, CO 80840-2502
(719) 333-5063
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
CO
Other
Enumeration date
11/18/2005
Last updated
03/01/2011
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