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1073170528
STEPHEN GRANT WAHLIG
DES MOINES, IA
NPI
1073170528
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IA R11480)
Enumeration Date
2019-05-21
Last Update Date
2019-05-21
Business Address
STEPHEN GRANT WAHLIG MD
1415 WOODLAND AVE STE 140
DES MOINES, IA 50309-3203
Phone number: 515-241-8595
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Mailing Address
STEPHEN GRANT WAHLIG MD
1415 WOODLAND AVE STE 140
DES MOINES, IA 50309-3203
Phone number: 515-241-8595
Copy
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