Individual
MARK A. WEHRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
23 MACK BAYOU LOOP STE 100, SANTA ROSA BEACH, FL 32459-2606
(850) 416-1575
Mailing address
PO BOX 2699, PENSACOLA, FL 32513-2699
(850) 475-4686
(850) 475-4619
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
ME73290
FL
2088P0231X
Pediatric Urology Physician
Primary
ME73290
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009940512
—
AL
05
—
252898300
—
FL
Enumeration date
12/11/2006
Last updated
04/09/2018
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