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Individual

DR. DAVID V WAHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11911 NE 132ND ST., SUITE 200, KIRKLAND, WA 98034
(425) 899-5800
(425) 899-5806
Mailing address
11911 NE 132ND ST., SUITE 200, KIRKLAND, WA 98034
(425) 899-5800
(425) 899-5806

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
11642
WA
208800000X
Urology Physician
Primary
MD11642
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11642
MEDICAL LICENSE
WA
05
1193309
WA
01
A55329G
MEDICARE ID-PIN
WA
Enumeration date
07/12/2006
Last updated
06/14/2011
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