Individual
VAN E WAHLGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2321 STOUT RD, MENOMONIE, WI 54751-7003
(715) 235-5531
(715) 233-7645
Mailing address
2321 STOUT RD, MENOMONIE, WI 54751-7003
(715) 235-5531
(715) 233-7645
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
48759
WI
Other
Enumeration date
10/14/2005
Last updated
09/05/2007
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