Most Relevant Information
Provider Data
| NPI Number: | 1003816737 |
| Provider Name: | MICHAEL A WOHLBERG MD |
| Entity Type: | Individual |
| Taxonomy Code: | 2085R0202X |
| Specialty: | Radiology |
| License Number: | 01043942A |
Most Important Dates
| Enumeration Date: | 07/22/2005 |
| Last Updated: | 12/21/2016 |
Provider Practice Location
800 W 9TH ST
JASPER
IN
475462514
Practice Location Phone/Fax
| Phone: | 8129962345 |
| Fax: |
Provider Mailing Location
800 W 9TH ST
JASPER
IN
475462514
Provider Mailing Phone/Fax
| Phone: | 8129962345 |
| Fax: |