Individual
DR. JEFFREY W WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1045 KLOTZ RD, BOWLING GREEN, OH 43402-4820
(419) 352-7588
(419) 354-4977
Mailing address
1045 KLOTZ RD, PO BOX 738, BOWLING GREEN, OH 43402-4820
(419) 352-7588
(419) 354-4977
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
35054045
OH
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
35054045
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0832862
—
OH
Enumeration date
09/12/2005
Last updated
01/20/2009
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