Individual
PETER WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
4652 LYNDALE AVE S, MINNEAPOLIS, MN 55419-5302
(734) 395-7304
Mailing address
4652 LYNDALE AVE S, MINNEAPOLIS, MN 55419-5302
(734) 395-7304
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7601
MN
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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