Individual
MRS. TERESA LYNN WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
451 JUNCTION RD, MADISON, WI 53717-2656
(608) 265-7670
(608) 265-7739
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
9419
MN
363AM0700X
Medical Physician Assistant
Primary
5640
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003889817
—
MN
Enumeration date
02/10/2006
Last updated
03/08/2022
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