Individual
MR. TIMOTHY O. WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7831 CHICAGO COURT, OMAHA, NE 68114-3654
(402) 561-2740
(402) 561-2738
Mailing address
7831 CHICAGO COURT, OMAHA, NE 68114-3654
(402) 561-2740
(402) 561-2738
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
14753
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025277100
—
NE
Enumeration date
08/18/2005
Last updated
11/05/2014
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