Individual
BRYAN JACOB WOHLFELD
Active
Individual
BRYAN JACOB WOHLFELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
01084250A
IN
207T00000X
Neurological Surgery Physician
N7764
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
297763901
—
TX
01
—
TXB134441
MEDICARE PTAN
TX
Enumeration date
06/05/2007
Last updated
08/19/2020
Update your record
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