MEDICARE: CARL SYLVESTER WEHRI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	39853	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669537791
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARL SYLVESTER WEHRI MD

Provider Business Mailing Address
First Line	:	PO BOX 458
Second Line	:	1775 E FIFTH ST
City	:	DELPHOS
State	:	OH
Zip	:	45833-0458
Country	:	US
Telephone Number	:	419-692-1055
Fax Number	:	419-692-4203

Provider Business Practice Location Address
First Line	:	1775 E FIFTH ST
Second Line	:
City	:	DELPHOS
State	:	OH
Zip	:	45833-0458
Country	:	US
Telephone Number	:	419-692-1055
Fax Number	:	419-692-4203

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2006
Last Update Date	:	07/08/2007

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