MARCUS SHANE WAHL

ADA, OK
NPI1508408311
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OK  58478)
Enumeration Date2019-10-14
Last Update Date2025-04-16
Business Address
MARCUS SHANE WAHL APRN
1007 N COUNTRY CLUB RD
ADA, OK 74820-2847
Phone number: 580-421-8700
Mailing Address
MARCUS SHANE WAHL APRN
2222 W IOWA AVE
CHICKASHA, OK 73018-2738
Phone number: 405-224-8111