Individual
DR. ERIC PAUL WOHLRAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2301 N BENDIX DR, STE. 500, SOUTH BEND, IN 46628-3486
(574) 647-1675
Mailing address
3355 DOUGLAS RD, SUITE 300, SOUTH BEND, IN 46635-1781
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
01047560A
IN
2083X0100X
Occupational Medicine Physician
Primary
01047560A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200352050
—
IN
Enumeration date
12/09/2005
Last updated
06/16/2009
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