Individual
MICHAEL J WAHLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1406 N MAIN ST, BOX 627, MITCHELL, SD 57301-1463
(605) 996-4856
(605) 996-4225
Mailing address
1406 N MAIN ST, BOX 627, MITCHELL, SD 57301-1463
(605) 996-4856
(605) 996-4225
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
288H
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9162300
—
SD
Enumeration date
05/04/2007
Last updated
07/08/2007
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