Individual
PATRICK LEE WOLFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
900 CRESTVIEW DR, SUITE 240, HUDSON, WI 54016-9516
(715) 381-5556
Mailing address
900 CRESTVIEW DR, SUITE 240, HUDSON, WI 54016-9516
(715) 381-5556
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4584-015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33723000
—
WI
Enumeration date
08/28/2008
Last updated
08/28/2008
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