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Individual

DR. BRETT T. WAHLGREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5722 OUTER LOOP, LOUISVILLE, KY 40219
(502) 492-7455
(502) 921-0222
Mailing address
5722 OUTER LOOP, LOUISVILLE, KY 40219-4156
(502) 492-7455
(502) 921-0222

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
53134
KY
207LA0401X
Addiction Medicine (Anesthesiology) Physician
53134
KY

Other

Enumeration date
04/07/2015
Last updated
09/20/2019
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