| Doctor Name: | MR. MICHAEL A WOHLBERG |
| NPI Number: | 1003816737 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 01043942A |
| Business Practice Address: | 721 W 13th St Jasper, IN - 475461817 |
| Business Phone Number: | 8124812240 |
| Business Fax Number: | 8124812241 |
| Mailing Address: | 800 W 9th St, JASPER |
| State: | IN |
| Postal Code: | 475462514 |
| Phone Number: | 8124817303 |
| Fax Number: | 8124812241 |
| NPI Enumeration Date: | 07/22/2005 |
| NPI Last Update Date: | 12/02/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 01043942A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |