Wahl Family Practice Pc | |
109 Technology Drive Suite A Butler PA 16001-1785 | |
(724) 431-0300 | |
(724) 431-0301 |
Full Name | Wahl Family Practice Pc |
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Speciality | Family Medicine |
Location | 109 Technology Drive, Butler, Pennsylvania |
Authorized Official Name and Position | Michael Wahl (OWNER) |
Authorized Official Contact | 7244310300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wahl Family Practice Pc Po Box 1549 Suite 201 Butler PA 16003-1549 Ph: (724) 431-0300 | Wahl Family Practice Pc 109 Technology Drive Suite A Butler PA 16001-1785 Ph: (724) 431-0300 |
NPI Number | 1649299603 |
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Provider Enumeration Date | 07/19/2006 |
Last Update Date | 09/23/2015 |
Medicare PECOS PAC ID | 6608875794 |
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Medicare Enrollment ID | O20061219000389 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649299603 | NPI | - | NPPES |
1016934940001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Michael Wahl |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265423404 PECOS PAC ID: 2466475413 Enrollment ID: I20060105000492 |
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