Individual
DR. MARK A WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 PEELER ST, KALAMAZOO, MI 49008-2380
(269) 345-8618
(269) 345-1508
Mailing address
900 PEELER ST, KALAMAZOO, MI 49008-2300
(269) 345-8618
(269) 345-1508
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301077436
MI
207L00000X
Anesthesiology Physician
ME176459
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4319750
—
MI
05
—
4858156
—
MI
Enumeration date
02/22/2006
Last updated
01/16/2026
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