DR. WAYNE S WAHL M.D. NPI 1619928579

NPI Information

NPI: 1619928579
Provider Name: DR. WAYNE S WAHL, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
2990 CAMPBELL RD
ROSE CITY, MI
ZIP 48654
Phone: (989) 685-2333
Get Directions

DR. Wayne S Wahl, M.D. is a family medicine in Rose City, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Wayne S Wahl, M.D. NPI is 1619928579. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2990 CAMPBELL RD
ROSE CITY, MI
ZIP 48654-724
Phone: (989) 685-2333
Fax: (989) 685-2760

The enumeration date for this NPI number is 5/15/2006 and was last updated on 1/8/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		4301039553	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4737400	MEDICAID	MICHIGAN
2	4758830	MEDICAID	MICHIGAN
3	08OG21014	OTHER	MICHIGAN	BCBS
4	P00258733	OTHER	MICHIGAN	RAILROAD MEDICARE
5	OP19260 004	MEDICARE PIN	MICHIGAN
6	4737419	MEDICAID	MICHIGAN
7	4758858	MEDICAID	MICHIGAN
8	4737446	MEDICAID	MICHIGAN
9	B43560	MEDICARE UPIN	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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