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Individual

DR. MELVIN M WAHL JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1100 GOETHALS DR STE B, RICHLAND, WA 99352-3301
(509) 942-3080
(509) 942-3085
Mailing address
550 GAGE BLVD STE 101, RICHLAND, WA 99352-9532
(509) 473-0637
(509) 627-2983

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
A95817
CA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
MD00047477
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0242786
LABOR & INDUSTRIES
WA
05
8483638
WA
Enumeration date
08/03/2006
Last updated
10/03/2024
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