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Individual

CALVIN P WADLEY

Active
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Individual

CALVIN P WADLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., FACEP

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-050417
IL
207P00000X
Emergency Medicine Physician
200600526
NC
207P00000X
Emergency Medicine Physician
20748
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036050417
IL
01
144XN
BCBS OF NC
NC
05
5906423
NC
Enumeration date
07/17/2006
Last updated
12/12/2008
Update your record

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