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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MCKENSIE WAHL, MD

Active

MCKENSIE WAHL, MD is a Sports Medicine healthcare provider located in MEDFORD, New Jersey. NPI 1073173381 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine · MEDFORD, NJ

Registration Details

NPI Number
1073173381
Provider Type
Individual
Gender
Female
NPI Issued
Jun 18, 2019 (7.1294262189757 yrs)
Last Updated
Oct 2, 2023
Licenses
MT218594 (PA)
25MA11715700 (NJ)

Practice Information

Address
131 ROUTE 70 STE 100A
MEDFORD, NJ, 080559501
Browse NJ providers · Browse ZIP 08055
Phone
8566733960
Primary Specialty
Sports Medicine
207QS0010X
Additional Specialty
Sports Medicine

Other Sports Medicine Providers in MEDFORD, NJ

Name Credential NPI
THOMAS JOHN SCHUMANN 1770076622
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.